Organization · Type 2 NPI

United Supermarkets LLC

Community/Retail Pharmacy · Wichita Falls, TX

NPI number 1184615544 Active

Practice location

4516 Jacksboro Hwy
Wichita Falls, TX 76302-2920

Call (940) 767-3368 Map

Fax (940) 767-1041

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	21390 (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 Wichita Falls

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NPI record

NPI: 1184615544
Entity type: Organization (Type 2)
Issued: Nov 3, 2005
Last updated: Mar 9, 2026
Status: Active

Other names

<unavail>
United Pharmacy #1216 · doing business as
United Pharmacy #516 · 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 1184615544

United Supermarkets LLC's National Provider Identifier is 1184615544, issued on Nov 3, 2005. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Wichita Falls, TX. The record was last updated on Mar 9, 2026.