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BROULIM SUPERMARKETS, LLC
NPI 1427101674
Pharmacy - Community/Retail Pharmacy in Driggs, ID

Active since January 19, 2007
240 S MAIN ST, DRIGGS, ID 83422(208) 643-3159(866) 297-1519 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2025, Jan 29, 2021, May 12, 2016 and 2 more (5 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 1427101674), doing business as Broulim's Pharmacy #7 - Driggs, is a healthcare organization registered as a community/retail pharmacy in Driggs, Idaho and active in the NPI registry since January 2007. The organization lists Marcus Hurst, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1427101674
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameBROULIM SUPERMARKETS, LLC
Location Address240 S MAIN STDriggs, ID 83422-5401
Mailing Address160 S Clark StRigby, ID 83442-1407 · (208) 745-9201 · Fax (208) 745-7433
Phone(208) 643-3159
Fax(866) 297-1519
Organization SubpartNo
Authorized OfficialMarcus HurstPharmacy Director · (208) 745-9201
Enumeration DateJanuary 19, 2007
Last NPPES UpdateJuly 3, 20255 updates tracked since enumeration
NPPES CertifiedJuly 3, 2025
✔ NPI 1427101674 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
240 S MAIN ST, Driggs, ID 83422
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Other Names 1

Doing Business AsBroulim's Pharmacy #7 - Driggs

Other Identifiers 3

Other1307568Ncpdp
Medicaid1427101674ID
Other1954RPID · 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 ›

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
239 services236 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
222 services219 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services18 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
19 services18 patients

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.

MISS KARLA JEAN KRIEGER RPH
Pharmacist
240 S MAIN ST
DRIGGS, ID 83422
Teton County (208) 354-0057
RACHEL NEWCOMB PHARMD
Pharmacist
240 S MAIN ST
DRIGGS, ID 83422
Teton County (208) 643-3159

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 1427101674. It was assigned to this organization in the NPPES registry on January 19, 2007. The provider is doing business as Broulim's Pharmacy #7 - Driggs.

Where is Broulim Supermarkets, LLC located?

Broulim Supermarkets, LLC is located at 240 S Main St, Driggs, ID 83422. The listed phone number is (208) 643-3159.

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 48 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 with the weekly NPPES data releases published by CMS.