United Supermarkets LLC
United Supermarkets LLC is a healthcare organization registered as Community/Retail Pharmacy in Lubbock, TX, holding Type 2 (organization) NPI 1508843418 since 2005. The authorized official on file is Kathy Giannakopoulos, Enrollments Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1508843418 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | United Supermarkets LLC |
| Other name | <Unavail> |
| Practice address | 4205 98TH ST, Lubbock, TX, 79423 |
| Phone | 8067986115 |
| Fax | 8067986117 |
| Enumeration date | 2005-12-30 |
| Last updated in NPPES | 2026-05-11 |
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 | 21414 | TX |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 465195 | Medicaid | TX | — |
| 148870201 | Medicaid | TX | — |
| 2096638 | Other | — | PK |
Copy-ready billing details
Provider: United Supermarkets LLC NPI: 1508843418 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 4205 98TH ST, Lubbock, TX, 79423
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1013319714 | Crockett Tidwell | Individual | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | Lubbock, TX |
| 1699238154 | Marianne Coughlon | Individual | Pharmacist | Lubbock, TX |
| 1912550369 | Carol Chatfield | Individual | Pharmacist | Lubbock, TX |
| 1063065464 | Aaron Thompson | Individual | Pharmacist | Lubbock, TX |
| 1205441920 | Matthew Sanders | Individual | Pharmacist | Lubbock, TX |
| 1730772641 | Amy Padilla-Silva | Individual | Pharmacist | Lubbock, TX |
| 1386383958 | Kandace Vo | Individual | Pharmacist | Lubbock, TX |
| 1538897475 | Brittany Valdez | Individual | Pharmacist | Lubbock, TX |
Verify this record
Cross-check NPI 1508843418 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 a Type 2 NPI?
What type of organization is United Supermarkets LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-05-11.