United Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21419 Issued in TX

Legal business name

UNITED SUPERMARKETS LLC

Doing business as

United Pharmacy #4551
United Pharmacy #551

Practice address

8010 Frankford Ave
Lubbock, TX 79424-2626

Phone

(806) 783-0241

Fax

(806) 783-8490

NPI assigned

Dec 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 2

• UNITED PHARMACY #4551 Doing business as
• UNITED PHARMACY #551 Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Haggen Opco North LLC

  dba Haggen Pharmacy #2102

  • Community/Retail Pharmacy
  • Grants Pass, OR
  • NPI 1063468064

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cynthia Black, RPH

  • Pharmacist
  • Lubbock, TX
  • NPI 1528611688
  NPD (past)
• Sarah Casselberry, PHARMD, RPH

  • Pharmacist
  • Lubbock, TX
  • NPI 1629855499
  NPD (past)
• Ashley Gregory

  • Pharmacist
  • Lubbock, TX
  • NPI 1235969189
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1003893918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PARKCENTER BLVD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837063940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8010 FRANKFORD AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242626",
            "telephone_number": "806-783-0241",
            "fax_number": "806-783-8490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "GIANNAKOPOULOS",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ENROLLMENTS MANAGER",
        "authorized_official_telephone_number": "208-395-3954"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096406",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148848801",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED PHARMACY #4551",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNITED PHARMACY #551",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mitzi D Umstot, M.S.,CCC-SLP
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• Uncov Gynelogical Associates
• Ramya Krishna Undamatla, MD
• Unique Homecare Pharmacy
• United Supermarkets LLC (Amigos Pharmacy #2603)
• United Supermarkets LLC (United Coalition Pharmacy)
• United Supermarkets LLC (United Pharmacy)
• United Supermarkets LLC (United Pharmacy #3155)
• United Supermarkets LLC (Market Street Pharmacy #2553)

• Community/Retail Pharmacy in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.