Michael R Bolos, PHARMD, CSP

Primary specialty

PharmacistTaxonomy code 183500000X

License

13005 Issued in SC

Practice address

3950 Brodhead Rd Ste 100
Monaca, PA 15061-3030

Phone

(877) 836-9925

Fax

(866) 418-6337

NPI assigned

Aug 27, 2012

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Express Med Pharmaceuticals, Inc.

  • Long Term Care Pharmacy
  • Monaca, PA
  • NPI 1114017019
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1053669937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 BRODHEAD RD STE 100",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613030",
            "telephone_number": "877-836-9925",
            "fax_number": "866-418-6337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 BRODHEAD RD STE 100",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150613030",
            "telephone_number": "877-836-9925",
            "fax_number": "866-418-6337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLOS",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHARMD, CSP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "13005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Bell, PA-C
• Jesse Tyler Bender, OTR/L
• Laura Leigh Bisbey, LPC, CAADC
• Kelli Bishop
• Kristi Leigh Blosl, LCSW
• Melissa S Bonicky, LPC
• Boscovs Department Store LLC
• Amy Boyd, RPH
• Kathleen Ann Boyde, LMT
• Brandon M. Lackovich DDS PLLC

• All providers in Monaca, PA
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.