Broulim Supermarkets, LLC
Broulim Supermarkets, LLC is a healthcare organization registered as Community/Retail Pharmacy in Driggs, ID, holding Type 2 (organization) NPI 1427101674 since 2007. The authorized official on file is Marcus Hurst, Pharmacy Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1427101674 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Broulim Supermarkets, LLC |
| Other name | <Unavail> |
| Practice address | 240 S MAIN ST, Driggs, ID, 83422 |
| Phone | 2086433159 |
| Fax | 8662971519 |
| Enumeration date | 2007-01-19 |
| Last updated in NPPES | 2025-07-03 |
Authorized official
| Name | Marcus Hurst |
|---|---|
| Title | Pharmacy Director |
| Phone | 2087459201 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0002X | Clinic Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307568 | Other | — | NCPDP |
| 1427101674 | Medicaid | ID | — |
| 1954RP | Other | ID | BOARD OF PHARMACY |
Copy-ready billing details
Provider: Broulim Supermarkets, LLC NPI: 1427101674 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 240 S MAIN ST, Driggs, ID, 83422
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1407302185 | Karla Krieger | Individual | Pharmacist | Driggs, ID |
| 1497414494 | Rachel Newcomb | Individual | Pharmacist | Driggs, ID |
Verify this record
Cross-check NPI 1427101674 against the authoritative CMS record: view Broulim Supermarkets, LLC on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
Where is Broulim Supermarkets, LLC located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-03.