United Supermarkets LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

21386 Issued in TX

Legal business name

UNITED SUPERMARKETS LLC

Practice address

2403 N Columbia St
Plainview, TX 79072-3119

Phone

(806) 293-3820

Fax

(806) 293-7327

NPI assigned

Nov 3, 2005

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

• AMIGOS PHARMACY #1308 Doing business as
• AMIGOS PHARMACY #508 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.

Medicare medical equipment & supply locations

Member of 1

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

Locations

Practitioners 3

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

• John Kent Ballard, R.PH

  • Pharmacist
  • Plainview, TX
  • NPI 1770008518
  NPD (past)
• Marilyn Malouf Biggs, RPH

  • Pharmacist
  • Plainview, TX
  • NPI 1063067791
  NPD (past)
• Natividad Sandoval III, PHARM. D

  • Pharmacist
  • Plainview, TX
  • NPI 1922653716
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1972594422",
    "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": "2403 N COLUMBIA ST",
            "city": "PLAINVIEW",
            "state": "TX",
            "postal_code": "790723119",
            "telephone_number": "806-293-3820",
            "fax_number": "806-293-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED SUPERMARKETS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "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": "21386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093437",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "465174",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148865201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMIGOS PHARMACY #1308",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "AMIGOS PHARMACY #508",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tony R. Loggins M.D. P.a.
• Comlavi Tossou, MD
• Traditions Hospice of Plainview, LLC
• Cindy Tran, D.O
• Travis King, M.D., P.a.
• Lydia Valdez, PT
• Kimberly D Villanueva, LPC
• Wal-Mart Stores Texas LLC
• Wal-Mart Stores Texas, LLC
• Marek Walczak, M.D.

• Community/Retail Pharmacy in Plainview, TX
• Providers in Plainview, 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 Apr 6, 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.