Active NPI
United Supermarkets LLC
- Community/Retail Pharmacy
- Amarillo, TX
National Provider Identifier
1669459558
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 21395
- Legal business name
- UNITED SUPERMARKETS LLC
- Practice address
- 2530 S Georgia St
Amarillo, TX 79109-1927 - Phone
- (806) 468-9911
- Fax
- (806) 468-6071
- NPI assigned
- Dec 30, 2005
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 21395 | TX | Primary |
Addresses
Primary practice location
2530 S Georgia St
Amarillo, TX 79109-1927
Mailing address
250 E Parkcenter Blvd
Boise, ID 83706-3940
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2092682 | Other | PK | |
| 149307401 | Medicaid | TX | |
| 465185 | Medicaid | TX |
Other names 2
- MARKET STREET PHARMACY #1326
- MARKET STREET PHARMACY #526
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930078876 | TX | DME Supplier - Pharmacy | 0143126524 | Practice locations: Amarillo, TX |
| O20101124000158 | TX | Part B Supplier - Centralized Flu Biller | 0143126524 |
This NPI is an additional NPI on the enrollment Practice locations: Boise, ID |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0969476 | Market Street Pharmacy # 1326 | Certificate of waiver | Jan 14, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Market Street Pharmacy #526 | 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|Diabetic Shoes and Inserts | Does not accept assignment |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Amarillo, TX
- NPI 1487209094
-
- Pharmacist
- Amarillo, TX
- NPI 1184988693
-
- Pharmacist
- Waco, TX
- NPI 1952826117
-
- Pharmacist
- Amarillo, TX
- NPI 1124674692
-
- Pharmacist
- Amarillo, TX
- NPI 1679755524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1669459558",
"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": "2530 S GEORGIA ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791091927",
"telephone_number": "806-468-9911",
"fax_number": "806-468-6071"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED SUPERMARKETS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-30",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"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": "21395",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2092682",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "149307401",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "465185",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MARKET STREET PHARMACY #1326",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MARKET STREET PHARMACY #526",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.