United Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21414 Issued in TX

Legal business name

UNITED SUPERMARKETS LLC

Doing business as

Market Street Pharmacy #3543
Market Street Pharmacy #543

Practice address

4205 98TH St
Lubbock, TX 79423-3971

Phone

(806) 798-6115

Fax

(806) 798-6117

NPI assigned

Dec 30, 2005

Last updated

May 11, 2026By the provider in NPPES

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

• MARKET STREET PHARMACY #3543 Doing business as
• MARKET STREET PHARMACY #543 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.

• Albertsons LLC

  dba Albertsons Savon Pharmacy

  • Community/Retail Pharmacy
  • Irving, TX
  • NPI 1306889472

  Member Of

  NPD member

Practitioners 9

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.

• Carol L Chatfield, RPH

  • Pharmacist
  • Lubbock, TX
  • NPI 1912550369
  NPD (past)
• Marianne Coughlon, PHARMD

  • Pharmacist
  • Lubbock, TX
  • NPI 1699238154
  NPD (past)
• Kynsey Ebeling, PHARMD

  • Pharmacist
  • Lubbock, TX
  • NPI 1841928504
  NPD (past)
• Cole Tyler Jackson

  • Pharmacist
  • Lubbock, TX
  • NPI 1275361560
  NPD (past)
• Matthew John Sanders, PHARM.D.

  • Pharmacist
  • Lubbock, TX
  • NPI 1205441920
  NPD (past)
• Aaron Thompson, PHARM.D.

  • Pharmacist
  • Lubbock, TX
  • NPI 1063065464
  NPD (past)
• Crockett Tidwell, RPH

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Lubbock, TX
  • NPI 1013319714
  NPD (past)
• Brittany Burks Valdez, PHARM D

  • Pharmacist
  • Lubbock, TX
  • NPI 1538897475
  NPD (past)
• Kandace Vo, PHARM.D

  • Pharmacist
  • Lubbock, TX
  • NPI 1386383958
  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": "1778457600000",
    "number": "1508843418",
    "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": "4205 98TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794233971",
            "telephone_number": "806-798-6115",
            "fax_number": "806-798-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-30",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "21414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465195",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148870201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2096638",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MARKET STREET PHARMACY #3543",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MARKET STREET PHARMACY #543",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• United Supermarkets LLC (Market Street Pharmacy #2553)
• United Supermarkets LLC
• United Supermarkets LLC (United Pharmacy #0605)
• United Supermarkets LLC (United Pharmacy #3552)
• United Supermarkets LLC (United Pharmacy #3537)
• United Supermarkets LLC (United Pharmacy #3506)

• 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 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.