{"npi":"1164560256","type":"NPI-2","status":"active","name":{"display":"United Supermarkets LLC","other":[],"organization_name":"UNITED SUPERMARKETS LLC","authorised_official":"Kathy Giannakopoulos"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"332B00000X","description":"Durable Medical Equipment & Medical Supplies","primary":false,"state":null,"license":null},{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"TX","license":"25310"}]},"addresses":[{"purpose":"LOCATION","street_1":"2806 S MAIN ST","city":"PERRYTON","state":"TX","postal_code":"790705346","country_code":"US","phone":"8064357160","fax":"8064357231"},{"purpose":"MAILING","street_1":"250 E PARKCENTER BLVD","city":"BOISE","state":"ID","postal_code":"837063940","country_code":"US"}],"license":{"state":"TX","number":"25310"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"466333","state":"TX","issuer":null},{"type_code":"05","label":"Medicaid","value":"130064","state":"TX","issuer":null},{"type_code":"01","label":"Other","value":"2098775","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20141008001623","type_code":"30-A5","type_desc":"DME SUPPLIER - PHARMACY","state":"TX","pac_id":"0143126524"}]},"enumeration_date":"2007-02-02","last_updated":"2026-03-18","_meta":{"source":"NPPES","snapshot_date":"2026-03-18","doc_url":"https://findmynpi.com/api"}}