Organization · Type 2 NPI

United Supermarkets LLC

Community/Retail Pharmacy · Roswell, NM

NPI number 1679512057 Active

Practice location

1110 S Main St
Roswell, NM 88203-5635

Call (575) 623-9300 Map

Fax (575) 363-3394

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	PH00002850 (NM)

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 …

5 other providers at this address

Other community/retail pharmacy providers in Roswell

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NPI record

NPI: 1679512057
Entity type: Organization (Type 2)
Issued: Jun 4, 2006
Last updated: May 12, 2026
Status: Active

Other names

<unavail>
Albertsons Market Pharmacy #3690 · doing business as
Albertsons Market Pharmacy #690 · other name

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 1679512057

United Supermarkets LLC's National Provider Identifier is 1679512057, issued on Jun 4, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Roswell, NM. The record was last updated on May 12, 2026.