United Supermarkets LLC

Practice location

Address

7800 Enchanted Hills Blvd NE, Rio Rancho, NM 87144-8623

Phone

(505) 771-8411

Fax

(505) 771-9255

Mailing address

250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

Registered specialties (2)

Registry record

NPI

1073711404

Entity type

Organization

NPI issued

6 Jul 2007

Record last updated

11 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.