Organization · Type 2 NPI

United Supermarkets LLC

Community/Retail Pharmacy · Coppell, TX

NPI number 1104062280 Active

Practice location

700 N Denton Tap Rd
Coppell, TX 75019-2162

Call (469) 322-6815 Map

Fax (469) 983-0943

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	26273 (TX)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

4 other providers at this address

Other community/retail pharmacy providers in Coppell

See all in Coppell →

NPI record

NPI: 1104062280
Entity type: Organization (Type 2)
Issued: Dec 19, 2008
Last updated: May 11, 2026
Status: Active

Other names

<unavail>
Market Street Pharmacy #1564 · doing business as
Market Street Pharmacy #564 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104062280

United Supermarkets LLC's National Provider Identifier is 1104062280, issued on Dec 19, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Coppell, TX. The record was last updated on May 11, 2026.