Organization · Type 2 NPI

United Supermarkets LLC

Community/Retail Pharmacy · Lubbock, TX

NPI number 1902485436 Active

Practice location

11310 Slide Rd
Lubbock, TX 79424-6305

Call (806) 705-4110 Map

Fax (806) 705-4111

Mailing address

250 E Parkcenter Blvd
Boise, ID 83706-3940

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies	332B00000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed

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 Lubbock

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NPI record

NPI: 1902485436
Entity type: Organization (Type 2)
Issued: Apr 2, 2021
Last updated: May 11, 2026
Status: Active

Other names

<unavail>
United Pharmacy #0657 · doing business as
United Pharmacy #657 · 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 1902485436

United Supermarkets LLC's National Provider Identifier is 1902485436, issued on Apr 2, 2021. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Lubbock, TX. The record was last updated on May 11, 2026.