NPIMap

United Supermarkets LLC

Organization Active NPI Community/Retail Pharmacy · Rio Rancho, NM

NPI 1346061900 · NPPES record last updated May 11, 2026

Key facts

NPI
1346061900
Entity type
Organization (NPI type 2)
Primary specialty
Community/Retail Pharmacy 3336C0003X
Legal business name
UNITED SUPERMARKETS LLC
Practice address
2200 Unser Blvd SE
Rio Rancho, NM 87124-5134
Phone
(575) 727-8989
Fax
(575) 727-8999
NPI assigned
Oct 17, 2024
Organization subpart
No

Authorized official

Name
Kathy Giannakopoulos
Title
Enrollments Manager
Phone
(208) 395-3954

Corporate family (same 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.

Practitioners 95

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

View all 95

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
32D2327889Market Street Pharmacy #921
2200 Unser Blvd SE, Rio Rancho, NM 87124		Certificate of waiverJul 30, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Market Street Pharmacy #0921
2200 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 assignment
Participating since Apr 11, 2000

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NM

Medicare enrollment records

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

National Provider Directory

Tax ID family
United Supermarkets LLC (41 organizations share this tax ID)

Locations (25 of 80)

11825 Lomas Blvd NE
Albuquerque, NM 87112
Phone (505) 239-9156

6600 Central Ave SW
Albuquerque, NM 87121
Phone (505) 831-4641

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

202 W Church St
Carlsbad, NM 88220
Phone (505) 885-2165

2402 N Grimes St
Hobbs, NM 88240
Phone (575) 392-4503

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

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

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

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

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

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

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

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

3301 S 14th St
Abilene, TX 79605
Phone (325) 677-1362

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

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

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

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

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

5601 W Amarillo Blvd
Amarillo, TX 79106
Phone (806) 352-6650

8767 S Coulter
Amarillo, TX 79119
Phone (806) 468-2742

2530 S Georgia St
Amarillo, TX 79109
Phone (806) 468-2730

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

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

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

Specialties & licenses

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

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

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 11, 2026.

{
    "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

All providers in Rio Rancho, NM · Community/Retail Pharmacy in New Mexico

Sources for this page

Verify at the official NPI Registry.