NPI age
19 years
Enumerated 2006-12-11
● Active Type 2 · Organization
Broulim Supermarkets Llc
Broulim Supermarkets Llc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Hurst
Pharmacy Director
Last NPPES update
2025-07-03
Source: monthly bulk 2026-05
How this organization compares
Across 397 active pharmacy providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
89 W 2nd S
Soda Springs, ID 832761509
Mailing address
160 S Clark St
Rigby, ID 834421407
Authorized official
Marcus Hurst, PHARMD
Pharmacy Director
📞 2087459201
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Robert Birch, PHARMD Pharmacist NPI 1730638172
- Morgan Evans, PHARMD Pharmacist NPI 1306491477
- Jeffrey Grundhauser, PHARMD Pharmacist NPI 1780049577
- Rebecca Webster, PHARM.D. Pharmacist NPI 1477839553
Specialties
-
Pharmacy PrimaryA pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
-
PharmacyA facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally...
-
PharmacyA pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1508926734 | |
| 01 (ID) | 2098RP | BOARD OF PHARMACY |
| 01 | 1306162 | NCPDP |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Broulim's Pharmacy #10 - Soda Springs
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.