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BOLBOL LLC
NPI 1902423882
Pharmacy - Long Term Care Pharmacy in Vernon, CT

Active since June 26, 2020
79 EAST ST, VERNON, CT 06066(860) 875-2507(860) 870-8160 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolbol Llc NPPES

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

BOLBOL LLC (NPI 1902423882), doing business as The Medicine Shoppe 1442, is a healthcare organization registered as a long term care pharmacy in Vernon, Connecticut and active in the NPI registry since June 2020. The organization lists Nagy Wassef, Member, as its authorized official.

NPPES Registry Identity

NPI1902423882
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameBOLBOL LLC
Location Address79 EAST STVernon, CT 06066-3845
Mailing Address79 East StVernon, CT 06066-3845 · (860) 875-2507 · Fax (860) 870-8160
Phone(860) 875-2507
Fax(860) 870-8160
Organization SubpartNo
Authorized OfficialNagy WassefMember · (860) 875-2507
Enumeration DateJune 26, 2020
NPPES CertifiedJune 26, 2020
✔ NPI 1902423882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
79 EAST ST, Vernon, CT 06066
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Other Names 1

Doing Business AsThe Medicine Shoppe 1442

Other Identifiers 1

Medicaid008071088CT

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 ›

Other Providers at the Same Location NPPES 2

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

MILE HILL PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
79 EAST ST
ROCKVILLE, CT 06066
Capitol Planning Region (860) 875-2507
BOLBOL LLC
Pharmacy
79 EAST ST
VERNON ROCKVILLE, CT 06066
Capitol Planning Region (860) 775-2507

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bolbol LLC's NPI number?

The NPI number for Bolbol LLC is 1902423882. It was assigned to this organization in the NPPES registry on June 26, 2020. The provider is doing business as The Medicine Shoppe 1442.

Where is Bolbol LLC located?

Bolbol LLC is located at 79 East St, Vernon, CT 06066. The listed phone number is (860) 875-2507.

What is Bolbol LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Bolbol LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 34 other insurers list Bolbol LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bolbol LLC was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.