United Supermarkets LLC

Practice location

Address

1110 S Main St, Roswell, NM 88203-5635

Phone

(575) 623-9300

Fax

(575) 363-3394

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

1679512057

Entity type

Organization

NPI issued

4 Jun 2006

Record last updated

12 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.