Bolero Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

BOLERO PHARMACY LLC

Doing business as

Bolero Pharmacy

Practice address

351 W Hubbard St Ste 701
Chicago, IL 60654-4909

Phone

(877) 220-8181

NPI assigned

Aug 2, 2024

Last updated

Aug 2, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Joel Saban

Title

Manager

Phone

(847) 687-9321

Specialties & licenses 2

Addresses

Other names 1

• Bolero Pharmacy Doing business as

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1700616034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 W HUBBARD ST STE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544909",
            "telephone_number": "877-220-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 W HUBBARD ST STE 701",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606544909",
            "telephone_number": "877-220-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLERO PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A",
        "authorized_official_last_name": "SABAN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-687-9321",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bolero Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhea Fries Boldman, PH.D.
• Neil Alan Boldus, O.D.
• Erin Bolema, RN
• Dianna W Bolen, PSYD
• Leo Boler, MD
• Kyla Boles, L.AC
• Yvette Michelle Boles, PSY.D.
• Bolevika Inc
• Therese Marie Bolger, P.A.
• Beth Nachtsheim Bolick, RN CNP

• Pharmacy in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacy in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.