Broulim Supermarkets LLC
NPI 1508926734 · Community/Retail Pharmacy · Soda Springs, ID
Broulim Supermarkets LLC is a Community/Retail Pharmacy organization in Soda Springs, ID (NPI 1508926734).
Provider details
- NPI number
- 1508926734
- 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
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
199 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 120 | $24 |
| Admn Sarscov2 Vacc 1 Dose90480 | 79 | $27 |
Typical Medicare-allowed amounts for these services range $24–$27 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Broulim'S Pharmacy #10 - Soda Springs
Registry dates
- Enumerated
- 2006-12-11
- 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 1508926734, 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 89 W 2nd S, Soda Springs, ID 83276-1509.
- What is Broulim Supermarkets LLC's phone number?
- The practice phone number listed in the NPPES registry for Broulim Supermarkets LLC is (208) 547-3300.
- 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 (1508926734) 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.