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BROULIM SUPERMARKETS, LLC
NPI 1003969346
Pharmacy - Community/Retail Pharmacy in Rexburg, ID

Active since January 19, 2007
124 W MAIN ST, REXBURG, ID 83440(208) 356-5416(866) 238-5784 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 3, 2025, Sep 7, 2022, Jan 29, 2021 and 4 more (7 updates tracked since 2016).

About Broulim Supermarkets, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BROULIM SUPERMARKETS, LLC (NPI 1003969346), doing business as Broulim's Pharmacy #6 - Rexburg, is a healthcare organization registered as a community/retail pharmacy in Rexburg, Idaho and active in the NPI registry since January 2007. The organization lists Marcus Hurst, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1003969346
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROULIM SUPERMARKETS, LLC
Location Address124 W MAIN STRexburg, ID 83440-1827
Mailing Address160 S Clark StRigby, ID 83442-1407 · (208) 356-5416 · Fax (208) 356-5653
Phone(208) 356-5416
Fax(866) 238-5784
Organization SubpartNo
Authorized OfficialMarcus HurstPharmacy Director · (208) 745-9201
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 3, 20257 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1003969346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
A 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 dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
124 W MAIN ST, Rexburg, ID 83440
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Other Names 1

Doing Business AsBroulim's Pharmacy #6 - Rexburg

Other Identifiers 2

Medicaid1003969346ID
Other1280RPID · Board Of Pharmacy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN GARY MOSS PHARM.D.
Pharmacist
124 W MAIN ST
REXBURG, ID 83440
Madison County (208) 356-5416
CHRISTOPHER JAMES SMITH PHARMD
Pharmacist
124 W MAIN ST
REXBURG, ID 83440
Madison County (208) 356-5416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Broulim Supermarkets, LLC's NPI number?

The NPI number for Broulim Supermarkets, LLC is 1003969346. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Broulim's Pharmacy #6 - Rexburg.

Where is Broulim Supermarkets, LLC located?

Broulim Supermarkets, LLC is located at 124 W Main St, Rexburg, ID 83440. The listed phone number is (208) 356-5416.

What is Broulim Supermarkets, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Broulim Supermarkets, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 47 other insurers list Broulim Supermarkets, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Broulim Supermarkets, LLC was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.