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

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: July 19, 2026.

Record update history: Jul 3, 2025, Jan 29, 2021, May 16, 2016 and 3 more (6 updates tracked since 2016).

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 2024 & 2026 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

What is BROULIMS SUPERMARKETS, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1750525754, enumerated as an "organization" on April 22, 2009.

Where is the provider located?

The provider is located at 130 S 4TH ST MONTPELIER, ID 83254 and the phone number is (208) 847-0806.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does BROULIMS SUPERMARKETS, LLC accept?

The provider might be accepting Accepts: Alliant Health Plans, Inc., Ambetter from Absolute. Please consult your insurance carrier or call the provider to verify.