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Broulim Supermarkets, Llc

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NPI Number Detailed Information

Provider Information:

Name: Broulim Supermarkets, Llc
Gender:
Provider License Number If Given: 1090CP

NPI Information:

NPI: 1720132178
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 1/23/2007

Last Update Date: 1/29/2021

Provider Business Mailing Address:

Address: 182 N STATE ST
Rigby, ID 83442
Phone Number: 2087459201
Fax Number: 2087457433

Provider Business Practice Location Address:

Address: 150 N STATE ST
Rigby, ID 83442
Phone Number: 2087450267
Fax Number: 2087450208

Provider Taxonomy:

Primary: 3336C0003X
Secondary (if any):
State: ID

Top Doctors in ID

 

About Broulim Supermarkets, Llc

Broulim Supermarkets, Llc ( BROULIM SUPERMARKETS, LLC ) is A Pharmacy Provider in Rigby, ID. The NPI Number for Broulim Supermarkets, Llc is 1720132178.
The current location address for Broulim Supermarkets, Llc is 150 N STATE ST Rigby, ID 83442 and the contact number is 2087459201 and fax number is 2087457433. The mailing address for Broulim Supermarkets, Llc is 182 N STATE ST Rigby, ID 83442- 2087450267 (mailing address contact number - 2087459201).
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Provider Business Location on Map

FAQs:

What is the NPI Number for Broulim Supermarkets, Llc ?


Answer: The NPI Number for Broulim Supermarkets, Llc is 1720132178

Where is Broulim Supermarkets, Llc located?


Answer: Broulim Supermarkets, Llc is located at 150 N STATE ST Rigby, ID 83442.

What is the specialty for Broulim Supermarkets, Llc ?


Answer: The Specialty of Broulim Supermarkets, Llc is A Pharmacy Provider.

Are there any online reviews for Broulim Supermarkets, Llc ?


Answer: Not yet!

Are there any other health care providers in Rigby, ID?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Broulim Supermarkets, Llc

Number of HCPCS 16
Number of Medicare Beneficiaries 1070
Number of Services 2403
Total Submitted Charge Amount 158223.79
Total Medicare Allowed Amount 81397.69
Total Medicare Payment Amount 81397.69
Total Medicare Standardized Payment Amount 85647.82
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 5
Number of Medicare Beneficiaries With Drug Services 303
Number of Drug Services 315
Total Drug Submitted Charge Amount 23291.87
Total Drug Medicare Allowed Amount 22233.04
Total Drug Medicare Payment Amount 22233.04
Total Drug Medicare Standardized Payment Amount 21787.08
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 11
Number of Medicare Beneficiaries With Medical 1070
Number of Medical Services 2088
Total Medical Submitted Charge Amount 134931.92
Total Medical Medicare Allowed Amount 59164.65
Total Medical Medicare Payment Amount 59164.65
Total Medical Medicare Standardized Payment Amount 63860.74
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 86
Number of Beneficiaries Age 65 to 74 543
Number of Beneficiaries Age 75 to 84 331
Number of Beneficiaries Age Greater 84 110
Number of Female Beneficiaries 592
Number of Male Beneficiaries 478
Number of Non-Hispanic White Beneficiaries 1023
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries 24
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 105
Number of Beneficiaries With Medicare Only Entitlement 965
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.06
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.04
Percent (%) of Beneficiaries Identified With Asthma 0.03
Percent (%) of Beneficiaries Identified With Cancer 0.05
Percent (%) of Beneficiaries Identified With Heart Failure 0.07
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.17
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.14
Percent (%) of Beneficiaries Identified With Diabetes 0.19
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.28
Percent (%) of Beneficiaries Identified With Hypertension 0.36
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.16
Percent (%) of Beneficiaries Identified With Osteoporosis 0.05
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.31
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.02
Average HCC Risk Score of Beneficiaries 0.8625

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