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Edit this profileAt a glance
- 570 S State St, Shelley, ID 83274
About Broulim Supermarkets, LLC
Broulim Supermarkets, LLC is an organization based in Shelley, ID and listed in the NPI registry under community / retail pharmacy. This organization is also listed as specializing in primary care clinic and pharmacy. According to Medicare claims data, the services billed most often include administration of influenza virus vaccine, influenza vaccine split virus, preservative free, and admn sarscov2 vacc 1 dose. NPI 1396870911 identifies this record in the national registry.
Factual summary compiled by Guide.md from public records; not written by this provider.
Practice Size
Counted from individual NPI records registered at the same street address; a shared building can inflate this.
Providers in This Building & Nearby
From registry street addresses: providers filed at this building, which can include unrelated practices sharing it.
- Nathan Bolander Pharmacist
- Timothy E. Allen, PHARM D Pharmacist
- Daniel Schauwecker, PHARMD Pharmacist
- Blaine L. Wilding, PHARMD Pharmacist
Specialty
Credentials & Licensing
Contact Information
- (208) 357-0473
- Email not available
Practice Locations
570 S STATE ST
Shelley, ID 83274
Procedures Most Often Billed to Medicare
206 services · 205 patients · 6 distinct codes
| Procedure | Type | Code | Services |
|---|---|---|---|
| Influenza vaccine split virus, preservative free | Treatment | 90662 |
50 |
| Admn sarscov2 vacc 1 dose | Treatment | 90480 |
39 |
| Sarscv2 vac 30mcg trs-suc im | Treatment | 91320 |
34 |
| Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | Treatment | 90677 |
11 |
| Administration of influenza virus vaccine | Billing code | G0008 |
61 |
| Administration of pneumococcal vaccine | Billing code | G0009 |
11 |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Related providers
Connections drawn from the registry and from what providers have told us. A link here is not a referral or an endorsement.
Also at Broulim Supermarkets, LLC 8
Providers listing the same practice in the NPI registry.
Also at this address 4
Providers at the same street address. Each files their own registry entry, so a shared practice often appears under several different names.
Also performs Influenza vaccine split virus, preservative free 8
Providers in ID who bill this service to Medicare most often.
Common questions
What is Broulim Supermarkets, LLC's specialty?
Broulim Supermarkets, LLC is a community / retail pharmacy in Shelley, ID. That is the designation recorded for this NPI in the federal registry.
NPI registry
Where can I find Broulim Supermarkets, LLC?
Broulim Supermarkets, LLC is listed at 570 S State St, Shelley, ID 83274. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
How do I contact Broulim Supermarkets, LLC?
The number on file is (208) 357-0473. Contact the office directly to confirm availability and scheduling.
NPI registry
What is the NPI for Broulim Supermarkets, LLC?
Broulim Supermarkets, LLC's National Provider Identifier is 1396870911. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
What is Broulim Supermarkets, LLC known for?
According to Medicare billing data, Broulim Supermarkets, LLC provides treatments such as influenza vaccine split virus, preservative free and admn sarscov2 vacc 1 dose. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Is Broulim Supermarkets, LLC's profile verified?
Not yet. This profile is built from public federal data and has not been confirmed by Broulim Supermarkets, LLC. If this is you, claiming it is free.
Guide.md
Is this your practice?
Manage this listing? Log in or create an account, then click “This is my practice and I manage it” here. A verified physician whose registry address matches this location is approved instantly; everyone else is reviewed by a person.
Guide.md listings do not constitute medical advice or an endorsement.