United Supermarkets LLC
United Supermarkets LLC is a healthcare organization registered as Community/Retail Pharmacy in Lubbock, TX, holding Type 2 (organization) NPI 1477531366 since 2006. The authorized official on file is Kathy Giannakopoulos, Enrollments Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1477531366 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | United Supermarkets LLC |
| Other name | <Unavail> |
| Practice address | 4425 19TH ST, Lubbock, TX, 79407 |
| Phone | 8067882015 |
| Fax | 8067882016 |
| Enumeration date | 2006-01-03 |
| Last updated in NPPES | 2026-04-27 |
Authorized official
| Name | Kathy Giannakopoulos |
|---|---|
| Title | Enrollments Manager |
| Phone | 2083953954 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 21408 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 148892601 | Medicaid | TX | — |
| 465189 | Medicaid | TX | — |
| 2098859 | Other | — | PK |
Copy-ready billing details
Provider: United Supermarkets LLC NPI: 1477531366 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4425 19TH ST, Lubbock, TX, 79407
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1275998593 | Suzanne Thompson | Individual | Pharmacist | Lubbock, TX |
| 1689164915 | Marshall Rauch | Individual | Pharmacist | Lubbock, TX |
| 1417447780 | Dennis Storch | Individual | Pharmacist | Lubbock, TX |
| 1134619067 | Jeff Hannon | Individual | Pharmacist | Lubbock, TX |
| 1821765546 | Kaeli Faires | Individual | Pharmacist | Lubbock, TX |
| 1639806136 | Kimberly Luna | Individual | Pharmacist | Lubbock, TX |
| 1225870330 | Kevin Kim | Individual | Pharmacist | Lubbock, TX |
| 1508603945 | Charles Ditmore | Individual | Pharmacist | Lubbock, TX |
Verify this record
Cross-check NPI 1477531366 against the authoritative CMS record: view United Supermarkets LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for United Supermarkets LLC?
Who is the authorized official for United Supermarkets LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-04-27.