NPI age
17 years
Enumerated 2009-04-22
● Active Type 2 · Organization
Broulims Supermarkets, Llc
Broulims Supermarkets, Llc is 1 of 397 pharmacy organizations in Idaho.
Primary specialty
Pharmacy
Plus 1 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
17 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 70% of peers with subspecialties
NPI lifetime · 2009 → 2026
2009-04Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
130 S 4th St
Montpelier, ID 832541538
Mailing address
160 S Clark St
Rigby, ID 834421407
Authorized official
Marcus C Hurst, PHARMD
Pharmacy Director
📞 2087459201
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Anthony Ruud, PHARM-D Pharmacist NPI 1770868937
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 1308217 | NCPDP PROVIDER IDENTIFICATION NUMBER |
| 05 (ID) | 1750525754 | |
| 01 (ID) | 1912011 | IMMUNIZATION SUPPLIER NSC |
| 01 (ID) | 2322RP | BOARD OF PHARMACY |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Broulims Pharmacy
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.