United Supermarkets LLC

Practice location

Address

4300 Ridgecrest Dr SE, Rio Rancho, NM 87124-5907

Phone

(505) 892-2262

Fax

(505) 892-1163

Mailing address

250 E Parkcenter Blvd, Boise, ID 83706-3940

Authorised official

Name

Kathy Giannakopoulos

Title

Enrollments Manager

Phone

(208) 395-3954

Registered specialties (3)

Registry record

NPI

1316984834

Entity type

Organization

NPI issued

1 Jun 2006

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.