BOSCOBEL PHARMACY, INC
NPI 1245249614
Pharmacy - Community/Retail Pharmacy in Boscobel, WI

Q: What is Boscobel Pharmacy, Inc's NPI number?

The NPI number for Boscobel Pharmacy, Inc is 1245249614. It was assigned to this organization in the NPPES registry on August 5, 2006. The provider was formerly known as Bohlman Drug Store, Inc.

Q: What is Boscobel Pharmacy, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 05, 2006CLIA 52D0716936 · Waiver

1028 WISCONSIN AVE, BOSCOBEL, WI 53805(608) 375-4466(608) 375-2383 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 17, 2020, Aug 9, 2016 (2 updates tracked since 2016).

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About Boscobel Pharmacy, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BOSCOBEL PHARMACY, INC (NPI 1245249614), doing business as Bohlman Drug Store, Inc, is a healthcare organization registered as a community/retail pharmacy in Boscobel, Wisconsin and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Michelle E. Farrell, Pharmacist, Owner, as its authorized official.

NPPES Registry Identity

NPI1245249614

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameBOSCOBEL PHARMACY, INC

Location Address1028 WISCONSIN AVEBoscobel, WI 53805-1532

Mailing Address1028 Wisconsin AveBoscobel, WI 53805-1532 · (608) 375-4466 · Fax (608) 375-2383

Phone(608) 375-4466

Fax(608) 375-2383

Organization SubpartNo

Authorized OfficialMichelle E. FarrellPharmacist, Owner · (608) 375-4466

Enumeration DateAugust 5, 2006

Last NPPES UpdateFebruary 17, 20202 updates tracked since enumeration

✔ NPI 1245249614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in WI · 6474-042

Definition

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.

Also ListedDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionTaxonomy 332BP3500X · License 6474-042 (WI)

Also ListedDurable Medical Equipment & Medical Supplies · Oxygen Equipment & SuppliesTaxonomy 332BX2000X · License 6474-042 (WI)

Also ListedPharmacy · Home Infusion Therapy PharmacyTaxonomy 3336H0001X · License 6474-042 (WI)

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

1028 WISCONSIN AVE, Boscobel, WI 53805

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Other Names 1

Former Legal Business NameBohlman Drug Store, Inc

Other Identifiers 2

Other5105312WI · Ncpdp

Medicaid33051200WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 52D0716936

Boscobel Pharmacy Inc · Boscobel, WI

Active · expires Aug 31, 2026

CLIA Number52D0716936

Laboratory TypePharmacy

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorMs. Michelle E. Farrell

Laboratory Phone(608) 375-4466

Laboratory LocationBoscobel Pharmacy Inc1028 Wisconsin Avenue, Boscobel, WI 53805

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

337 services334 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

309 services309 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

56 services56 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

52 services52 patients

Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201

The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.

13 services12 patients

Medical Equipment Supplier Medicare DMEPOS 24

Medicare supplier enrollment and the product categories Boscobel Pharmacy, Inc carries, from the Medicare DMEPOS supplier directory.

Boscobel Pharmacy, Inc

DMEPOS supplier · Boscobel, WI

✔

Accepts Medicare assignment

Boscobel Pharmacy, Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20634587

Medicare Participant SinceJanuary 1, 1999

Supplier Location1028 Wisconsin AveBoscobel, WI 53805

Phone(608) 375-4466

Provider TypeOxygen & Equipment

Supplier Specialties

Certified Other Prosthetic Personnel Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Commodes, Urinals, Bedpans

Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY PATRICIA BOHLMAN RPH

Pharmacist