Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Broulim Supermarkets, LLC

Community/Retail Pharmacy in Ammon, ID · enumerated 2019 · authorized official Marcus Hurst, Pharmacy Director.

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

National Provider Identifier

1851854095

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Registry record

Entity type Organization (Type 2)

Legal business name Broulim Supermarkets, LLC

Other name <Unavail>

Practice address 3160 E 17th St Ste 164, Ammon, ID, 83406

Phone (208) 529-1795

Fax (833) 887-9908

Enumeration date Apr 12, 2019

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
1851854095	Medicaid	ID	-
NR-51740	Other	WY	BOARD OF PHARMACY
1309954	Other	-	NCPDP
53249RP	Other	ID	BOARD OF PHARMACY

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.

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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 Ammon, ID.

Providers at this address

Browse all →

Joseph Brown Pharmacist · Ammon, ID NPI 1346417003 Jared Lyon Pharmacist · Ammon, ID NPI 1912304049 Teton Pharmacy in Ammon Community/Retail Pharmacy · Ammon, ID NPI 1831561034 Jacee Clark Pharmacist · Ammon, ID NPI 1043937741 Kyren Tweedie Student in an Organized Health Care Education/Training Program · Ammon, ID NPI 1609748854

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