NPIMap

Organization Active NPI

United Supermarkets LLC

Doing business as Market Street Pharmacy #0921

  • Community/Retail Pharmacy
  • Rio Rancho, NM
National Provider Identifier
1346061900
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
UNITED SUPERMARKETS LLC
Doing business as
Market Street Pharmacy #0921
Market Street Pharmacy #921
Practice address
2200 Unser Blvd SE
Rio Rancho, NM 87124-5134
Phone
(575) 727-8989
Fax
(575) 727-8999
NPI assigned
Oct 17, 2024
Last updated
May 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

2200 Unser Blvd SE
Rio Rancho, NM 87124-5134

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Other names 2

  • MARKET STREET PHARMACY #0921 Doing business as
  • MARKET STREET PHARMACY #921 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250529001248 NM DME Supplier - PharmacyDME Supplier - Grocery Store 0143126524 Practice locations: Rio Rancho, NM

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2327889Market Street Pharmacy #9212200 Unser Blvd SE, Rio Rancho, NM 87124Certificate of waiverJul 30, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Market Street Pharmacy #09212200 Unser Blvd SE, Rio Rancho, NM 87124-5134(575) 727-8989 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Ostomy Supplies|Urological Supplies|Surgical Dressings Does not accept assignmentParticipating since Apr 11, 2000

National Provider Directory

National Provider Directory
Tax ID family
United Supermarkets LLC41 organizations share this tax ID, including this one

Other organizations with this tax ID 40

Organizations that report the same tax identification number in the National Provider Directory.

View all 40

Member of 1

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

Locations (25 of 84)

2910 Juan Tabo Blvd NE
Albuquerque, NM 87112
Phone (505) 299-8600

4950 Montgomery Blvd NE
Albuquerque, NM 87109
Phone (505) 883-8703

7101 Wyoming Blvd NE
Albuquerque, NM 87109
Phone (505) 821-1275

2351 Main St SE
Los Lunas, NM 87031
Phone (505) 865-2089

2200 Unser Blvd SE
Rio Rancho, NM 87124
Phone (575) 727-8989

4300 Ridgecrest Dr SE
Rio Rancho, NM 87124
Phone (505) 892-2262

1110 S Main St
Roswell, NM 88203
Phone (505) 622-7039

900 W 2nd St
Roswell, NM 88201
Phone (575) 622-1984

3001 S Saint Francis Dr
Santa Fe, NM 87505
Phone (505) 992-8638

2160 Pine St
Abilene, TX 79601
Phone (325) 673-4737

2160 Pine St
#574
Abilene, TX 79601
Phone (325) 673-4737

3301 S 14th St
#548
Abilene, TX 79605
Phone (325) 698-7801

4209 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 690-1008

4209 Buffalo Gap Rd
#546
Abilene, TX 79606
Phone (325) 690-1008

4450 Buffalo Gap Rd
Abilene, TX 79606
Phone (325) 695-4690

920 N Willis St
#547
Abilene, TX 79603
Phone (325) 677-1362

985 W Bethany Dr
Allen, TX 75013
Phone (972) 908-3840

985 W Bethany Dr
#563
Allen, TX 75013
Phone (972) 908-3840

1501 E Amarillo Blvd
Amarillo, TX 79107
Phone (806) 373-7057

1501 E Amarillo Blvd
#527
Amarillo, TX 79107
Phone (806) 373-7057

2530 S Georgia St
#526
Amarillo, TX 79109
Phone (806) 468-9911

3400 River Rd
Amarillo, TX 79107
Phone (806) 383-3345

3400 River Rd
#533
Amarillo, TX 79107
Phone (806) 383-3345

3552 S Soncy Rd
#530
Amarillo, TX 79119
Phone (806) 467-6815

4701 S Washington St
#522
Amarillo, TX 79110
Phone (806) 373-3341

Practitioners & affiliated clinicians

Practitioners 96

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1346061900",
    "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": "2200 UNSER BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245134",
            "telephone_number": "575-727-8989",
            "fax_number": "575-727-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-17",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET STREET PHARMACY #0921",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARKET STREET PHARMACY #921",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.