{"npi":"1669935813","type":"NPI-2","status":"active","name":{"display":"Broulim Supermarkets, LLC","other":[],"organization_name":"BROULIM SUPERMARKETS, LLC","authorised_official":"Marcus Hurst"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0002X","description":"Clinic Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"301 ASPEN SQ","city":"SAINT ANTHONY","state":"ID","postal_code":"834451662","country_code":"US","phone":"2082280424","fax":"8447216082"},{"purpose":"MAILING","street_1":"160 S CLARK ST","city":"RIGBY","state":"ID","postal_code":"834421407","country_code":"US","phone":"2087459201","fax":"2087453431"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2019-04-12","last_updated":"2025-07-03","_meta":{"source":"NPPES","snapshot_date":"2025-07-03","doc_url":"https://findmynpi.com/api"}}