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BROULIM SUPERMARKETS, LLC
NPI 1366275638
Clinic/Center - Health Service in Rigby, ID

Active since August 22, 2024
160 S CLARK ST, RIGBY, ID 83442(208) 745-9201(208) 745-3431 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 19, 2025, Aug 22, 2024 (2 updates tracked since 2024).

About Broulim Supermarkets, Llc NPPES

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

BROULIM SUPERMARKETS, LLC (NPI 1366275638) is a healthcare organization registered as a health service in Rigby, Idaho and active in the NPI registry since August 2024. The organization maintains 13 additional practice locations and lists Marcus C Hurst, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1366275638
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameBROULIM SUPERMARKETS, LLC
Location Address160 S CLARK STRigby, ID 83442-1407
Mailing Address160 S Clark StRigby, ID 83442-1407 · (208) 745-9201 · Fax (208) 745-3431
Phone(208) 745-9201
Fax(208) 745-3431
Organization SubpartNo
Authorized OfficialMarcus C HurstPharmacy Director · (208) 745-9201
Enumeration DateAugust 22, 2024
Last NPPES UpdateFebruary 19, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2025
✔ NPI 1366275638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
160 S CLARK ST, Rigby, ID 83442
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Secondary Practice Locations 13

Location 1141 Washington StreetAfton, WY 83110 · Phone (307) 885-5055 · Fax (307) 885-5057
Location 289 W 2nd SSoda Springs, ID 83276-1509 · Phone (208) 547-3300 · Fax (208) 547-3532
Location 3570 S State StShelley, ID 83274-1470 · Phone (208) 357-0473 · Fax (208) 357-0498
Location 4118400 US Highway 26/89Alpine, ID 83128 · Phone (307) 887-7781 · Fax (307) 654-6338
Location 51855 W Broadway StIdaho Falls, ID 83402-3043 · Phone (208) 529-3638 · Fax (208) 523-0222
Location 62730 E Sunnyside RdAmmon, ID 83406-7547 · Phone (208) 522-3257 · Fax (208) 522-3227
Location 73160 E 17th St Ste 164Ammon, ID 83406-6784 · Phone (208) 529-1795 · Fax (208) 529-1838
Location 8150 N State StRigby, ID 83442-1443 · Phone (208) 745-0267 · Fax (208) 745-0208
Location 9130 S 4th StMontpelier, ID 83254-1538 · Phone (208) 847-0806 · Fax (208) 847-0841
Location 10118 Petersen PkwyThayne, WY 83127-9753 · Phone (307) 883-6337 · Fax (307) 883-6338
Location 11301 Aspen SqSaint Anthony, ID 83445-1662 · Phone (208) 228-0424 · Fax (208) 624-3212
Location 12124 W Main StRexburg, ID 83440-1827 · Phone (208) 356-5416 · Fax (208) 356-5653
Location 13240 S Main StDriggs, ID 83422-5401 · Phone (208) 643-3159 · Fax (208) 643-7631

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

DR. MARCUS C HURST PHARMD
Pharmacist
160 S CLARK ST
RIGBY, ID 83442
Jefferson County (208) 745-9201
DR. FALLYN RAY LAMBERTSEN PHARMD
Pharmacist
160 S CLARK ST
RIGBY, ID 83442
Jefferson County (208) 745-9201

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 1366275638. It was assigned to this organization in the NPPES registry on August 22, 2024.

Where is Broulim Supermarkets, LLC located?

Broulim Supermarkets, LLC is located at 160 S Clark St, Rigby, ID 83442. The listed phone number is (208) 745-9201.

What is Broulim Supermarkets, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Broulim Supermarkets, LLC was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.