United Supermarkets LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UNITED SUPERMARKETS LLC

Practice address

2783 S Cedar St
Pecos, TX 79772-6206

Phone

(432) 755-3160

Fax

(432) 755-5006

NPI assigned

Jun 24, 2020

Organization subpart

No

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

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

• Haggen Opco North LLC

  • Community/Retail Pharmacy
  • Grants Pass, OR
  • NPI 1063468064

  Member Of

  NPD member

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

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• United Supermarkets LLC

  • Pharmacy
  • Frisco, TX
  • NPI 1124539531
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1174514681
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Wichita Falls, TX
  • NPI 1316656796
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1437601309
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1528584422
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Mansfield, TX
  • NPI 1578074985
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1659808434
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Amarillo, TX
  • NPI 1760233209
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Andrews, TX
  • NPI 1831067610
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Brownwood, TX
  • NPI 1881071512
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Breckenridge, TX
  • NPI 1881605434
  NPD tax ID
• United Supermarkets LLC

  • Community/Retail Pharmacy
  • Lubbock, TX
  • NPI 1902485436
  NPD tax ID

• United Pharmacy #0663 Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 18, 2026.

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1962028902",
    "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": "2783 S CEDAR ST",
            "city": "PECOS",
            "state": "TX",
            "postal_code": "797726206",
            "telephone_number": "432-755-3160",
            "fax_number": "432-755-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "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": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "471310",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Pharmacy #0663",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam D Sterlace, DO
• Martina Breann Swinger, DO
• James M Tarin, MD
• Trans Pecos Pharmacy LLC
• Trinity-Fpacp Pecos LLC
• Kristen Suzanne Upchurch, FNP
• Stephen Ray Valenzuela
• Charles Raymond Vaughn
• Wal-Mart Stores Texas LLC
• Christopher G. Wallace, PA

• All providers in Pecos, TX
• Durable Medical Equipment & Medical Supplies in Texas

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

Verify at the official NPI Registry.