OrganizationActive
Broulim Supermarkets, LLC
NPI 1003969346 · Community/Retail Pharmacy · Rexburg, ID
Broulim Supermarkets, LLC is a Community/Retail Pharmacy organization in Rexburg, ID (NPI 1003969346).
Provider details
- NPI number
- 1003969346
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Marcus Hurst, Pharmacy Director(208) 745-9201
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
124 W Main St
Rexburg, ID 83440-1827
Phone: (208) 356-5416
Fax: (866) 238-5784
Street-level locationGet directions
Mailing address
160 S Clark St
Rigby, ID 83442-1407
Other names (DBA / former)
- Doing business as
- Broulim'S Pharmacy #6 - Rexburg
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2025-07-03
- Certified
- 2025-07-03
Frequently asked questions
- What is Broulim Supermarkets, LLC's NPI number?
- Broulim Supermarkets, LLC's National Provider Identifier (NPI) is 1003969346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Broulim Supermarkets, LLC?
- Broulim Supermarkets, LLC is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Broulim Supermarkets, LLC located?
- Broulim Supermarkets, LLC's practice location on file with NPPES is 124 W Main St, Rexburg, ID 83440-1827.
- What is Broulim Supermarkets, LLC's phone number?
- The practice phone number listed in the NPPES registry for Broulim Supermarkets, LLC is (208) 356-5416.
- Who is the authorized official for Broulim Supermarkets, LLC?
- The authorized official listed on Broulim Supermarkets, LLC's NPPES record is Marcus Hurst, Pharmacy Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Broulim Supermarkets, LLC's NPI active?
- Yes — Broulim Supermarkets, LLC's NPI (1003969346) is active in the NPPES registry as of the last update on 2025-07-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.