United Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21390 Issued in TX

Legal business name

UNITED SUPERMARKETS LLC

Doing business as

United Pharmacy #1216
United Pharmacy #516

Practice address

4516 Jacksboro Hwy
Wichita Falls, TX 76302-2920

Phone

(940) 767-3368

Fax

(940) 767-1041

NPI assigned

Nov 3, 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 2

Other names 2

• UNITED PHARMACY #1216 Doing business as
• UNITED PHARMACY #516 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

Locations

Practitioners 5

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

• Kristin Hoskins

  • Pharmacist
  • Wichita Falls, TX
  • NPI 1528557584
  NPD (past)
• Paul Eugene Kasper, RPH

  • Pharmacist
  • Wichita Falls, TX
  • NPI 1255822433
  NPD (past)
• Adam Olson, PHARMD

  • Pharmacist
  • Wichita Falls, TX
  • NPI 1942892088
  NPD (past)
• Ricky Lee Schroeder I

  • Pharmacist
  • Wichita Falls, TX
  • NPI 1578053963
  NPD (past)
• Shari Zaloski, RPH

  • Pharmacist
  • Wichita Falls, TX
  • NPI 1881184703
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1184615544",
    "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": "4516 JACKSBORO HWY",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763022920",
            "telephone_number": "940-767-3368",
            "fax_number": "940-767-1041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "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": "21390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470836",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2097397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNITED PHARMACY #1216",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "UNITED PHARMACY #516",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Kent Ulrich, M.D.
• Gerald Elochukwu Umeh
• Mitzi J Underwood, OTR
• United Regional Health Care System Inc (United Regional Heath Care System)
• United Regional Physician Group
• United Supermarkets LLC (United Pharmacy #0634)
• United Supermarkets LLC (United Pharmacy #0221)
• United Supermarkets LLC (Market Street Pharmacy)
• United Supermarkets, L.L.C.
• University Park Nursing and Rehabilitation LP

• Community/Retail Pharmacy in Wichita Falls, TX
• Providers in Wichita Falls, 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 Mar 9, 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.