BROULIMS SUPERMARKETS, LLC
NPI 1750525754
Pharmacy - Community/Retail Pharmacy in Montpelier, ID

Q: What is Broulims Supermarkets, LLC's NPI number?

The NPI number for Broulims Supermarkets, LLC is 1750525754. It was assigned to this organization in the NPPES registry on April 22, 2009. The provider is doing business as Broulims Pharmacy.

Q: What is Broulims Supermarkets, LLC's specialty?

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

Active since April 22, 2009

130 S 4TH ST, MONTPELIER, ID 83254(208) 847-0806(855) 847-9649 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, Jan 29, 2021, May 16, 2016 and 3 more (6 updates tracked since 2016).

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About Broulims Supermarkets, Llc NPPES

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

BROULIMS SUPERMARKETS, LLC (NPI 1750525754), doing business as Broulims Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Montpelier, Idaho and active in the NPI registry since April 2009. The organization lists Marcus C Hurst, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1750525754

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBROULIMS SUPERMARKETS, LLC

Location Address130 S 4TH STMontpelier, ID 83254-1538

Mailing Address160 S Clark StRigby, ID 83442-1407 · (208) 745-9201 · Fax (208) 745-3431

Phone(208) 847-0806

Fax(855) 847-9649

Organization SubpartNo

Authorized OfficialMarcus C HurstPharmacy Director · (208) 745-9201

Enumeration DateApril 22, 2009

Last NPPES UpdateJuly 3, 20256 updates tracked since enumeration

NPPES CertifiedJuly 3, 2025

✔ NPI 1750525754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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

130 S 4TH ST, Montpelier, ID 83254

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Other Names 1

Doing Business AsBroulims Pharmacy

Other Identifiers 4

Other1308217Ncpdp Provider Identification Number

Medicaid1750525754ID

Other1912011ID · Immunization Supplier Nsc

Other2322RPID · 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 2

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.

120 services120 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.

90 services90 patients

Other Providers at the Same Location NPPES

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

DR. ANTHONY STAFFORD RUUD PHARM-D

Pharmacist

130 S 4TH ST
MONTPELIER, ID 83254

Bear Lake County (208) 847-0806

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 Broulims Supermarkets, LLC's NPI number?

The NPI number for Broulims Supermarkets, LLC is 1750525754. It was assigned to this organization in the NPPES registry on April 22, 2009. The provider is doing business as Broulims Pharmacy.

Where is Broulims Supermarkets, LLC located?

Broulims Supermarkets, LLC is located at 130 S 4th St, Montpelier, ID 83254. The listed phone number is (208) 847-0806.

What is Broulims 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 Broulims 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 Broulims 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 Broulims 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.