NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Broulim Supermarkets, LLC

Community/Retail Pharmacy in Shelley, ID · enumerated 2007 · authorized official Marcus Hurst, Pharmacy Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396870911

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Broulim Supermarkets, LLC
Other name <Unavail>
Practice address 570 S State St, Shelley, ID, 83274
Phone (208) 357-0473
Fax (844) 721-6089
Enumeration date Feb 22, 2007
Last updated in NPPES Jul 3, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
333600000X Pharmacy Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers Primary

Authorized official

Name Marcus Hurst
Title Pharmacy Director
Phone (208) 745-9201

Other identifiers

Identifier Type State Issuer
1876RP Other ID BOARD OF PHARMACY
1396870911 Medicaid ID -
1307493 Other - NCPDP

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-07-03. Verify at npiregistry.cms.hhs.gov.
Where is Broulim Supermarkets, LLC located?
The practice location on file with NPPES is in Shelley, ID.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-07-03.