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Broulim Supermarkets, LLC

Q: What type of organization is Broulim Supermarkets, LLC?

Broulim Supermarkets, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

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

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

National Provider Identifier

1720132178

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Registry record

Entity type Organization (Type 2)

Legal business name Broulim Supermarkets, LLC

Other name <Unavail>

Practice address 150 N State St, Rigby, ID, 83442

Phone (208) 745-0267

Fax (866) 238-2549

Enumeration date Jan 23, 2007

Last updated in NPPES Jul 3, 2025

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities 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
1305831	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER
1912011	Other	ID	MEDICARE NORIDIAN
1720132178	Medicaid	ID	-

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

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Broulim Supermarkets, LLC?

Broulim Supermarkets, LLC is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Providers at this address

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Jason Watts Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Rigby, ID NPI 1528242807 Clinton Thackeray Pharmacist · Rigby, ID NPI 1780937151 Garret Portela Pharmacist · Rigby, ID NPI 1912319799 Marc Anderson Pharmacist · Rigby, ID NPI 1316314842 Nathaniel Brown Pharmacist · Rigby, ID NPI 1083161186 Oscar Waldo Pharmacist · Rigby, ID NPI 1891357802

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