{"result_count":1,"results":[{"addresses":[{"address_1":"2730 E SUNNYSIDE RD","address_purpose":"LOCATION","address_type":"DOM","city":"AMMON","country_code":"US","country_name":"United States","fax_number":"855-829-8681","postal_code":"834067547","state":"ID","telephone_number":"208-522-3257"},{"address_1":"160 S CLARK ST","address_purpose":"MAILING","address_type":"DOM","city":"RIGBY","country_code":"US","country_name":"United States","fax_number":"208-745-3431","postal_code":"834421407","state":"ID","telephone_number":"208-745-9201"}],"basic":{"authorized_official_credential":"PharmD","authorized_official_first_name":"MARCUS","authorized_official_last_name":"HURST","authorized_official_middle_name":"C","authorized_official_name_prefix":"Dr.","authorized_official_name_suffix":"--","authorized_official_telephone_number":"2087459201","authorized_official_title_or_position":"Pharmacy Director","certification_date":"2025-07-03","enumeration_date":"2015-09-15","last_updated":"2025-07-03","organization_name":"BROULIM SUPERMARKETS, LLC","organizational_subpart":"NO","status":"A"},"created_epoch":"1442325536000","endpoints":[],"enumeration_type":"NPI-2","identifiers":[{"code":"01","desc":"Other (non-Medicare)","identifier":"1309310","issuer":"NCPDP","state":null},{"code":"05","desc":"MEDICAID","identifier":"1336517861","issuer":null,"state":"ID"},{"code":"01","desc":"Other (non-Medicare)","identifier":"40088RP","issuer":"Board of Pharmacy","state":"ID"}],"last_updated_epoch":"1751565165000","number":"1336517861","other_names":[{"code":"3","organization_name":"BROULIM'S PHARMACY #8 - AMMON","type":"Doing Business As"}],"practiceLocations":[],"taxonomies":[{"code":"261QP2300X","desc":"Clinic/Center, Primary Care","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"333600000X","desc":"Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0002X","desc":"Pharmacy, Clinic Pharmacy","license":null,"primary":false,"state":null,"taxonomy_group":""},{"code":"3336C0003X","desc":"Pharmacy, Community/Retail Pharmacy","license":null,"primary":true,"state":null,"taxonomy_group":""}]}]}