Organization · Type 2 NPI

United Supermarkets LLC

Pharmacy · Frisco, TX

NPI number 1124539531 Active

Practice location

4268 Legacy Dr
Frisco, TX 75034

Call (214) 705-0364 Map

Fax (214) 705-0363

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 Primary	333600000X	31775 (TX)
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is lo…

6 other providers at this address

Other pharmacy providers in Frisco

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NPI record

NPI: 1124539531
Entity type: Organization (Type 2)
Issued: Oct 12, 2017
Last updated: May 11, 2026
Status: Active

Other names

<unavail>
Market Street Pharmacy #0685 · doing business as
Market Street Pharmacy #685 · doing business as

Authorized official

Kathy Giannakopoulos
Enrollments Manager
(208) 395-3954

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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 1124539531

United Supermarkets LLC's National Provider Identifier is 1124539531, issued on Oct 12, 2017. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Frisco, TX. The record was last updated on May 11, 2026.