OrganizationActive
Bolbol LLC
NPI 1902423882 · Long Term Care Pharmacy · Vernon, CT
Bolbol LLC is a Long Term Care Pharmacy organization in Vernon, CT (NPI 1902423882).
Provider details
- NPI number
- 1902423882
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Nagy Wassef, Member(860) 875-2507
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
79 East St
Vernon, CT 06066-3845
Phone: (860) 875-2507
Fax: (860) 870-8160
Street-level locationGet directions
Mailing address
79 East St
Vernon, CT 06066-3845
Other names (DBA / former)
- Doing business as
- The Medicine Shoppe 1442
Registry dates
- Enumerated
- 2020-06-26
- Last updated
- 2020-06-26
- Certified
- 2020-06-26
Frequently asked questions
- What is Bolbol LLC's NPI number?
- Bolbol LLC's National Provider Identifier (NPI) is 1902423882, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolbol LLC?
- Bolbol LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Bolbol LLC located?
- Bolbol LLC's practice location on file with NPPES is 79 East St, Vernon, CT 06066-3845.
- What is Bolbol LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolbol LLC is (860) 875-2507.
- Who is the authorized official for Bolbol LLC?
- The authorized official listed on Bolbol LLC's NPPES record is Nagy Wassef, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolbol LLC's NPI active?
- Yes — Bolbol LLC's NPI (1902423882) is active in the NPPES registry as of the last update on 2020-06-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.