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Contact Information

UNITED SUPERMARKETS LLC
2522 IOWA PARK RD
WICHITA FALLS, TX76306
 Phone: 940-322-1114
 Fax: 940-767-3908
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for UNITED SUPERMARKETS LLC

NPI Number 1558409482
LBN Legal business name UNITED SUPERMARKETS LLC
Authorized official KATHY GIANNAKOPOULOS - (ENROLLMENTS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/02/2007
Last updated 03/12/2026 - About 3 months ago
Identifiers
TX License # 21392
TX Medicaid 149309001
TX Medicaid 465182
TX Other 4581496 NCPDP
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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