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ST KEROLLOS PHARMACY INC
NPI 1306344858
Pharmacy - Community/Retail Pharmacy in Carson, CA

Active since January 30, 2018
111 E CARSON ST STE B, CARSON, CA 90745(310) 835-1000(310) 835-3000 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 10, 2026, Feb 7, 2022, Jul 2, 2019 (3 updates tracked since 2019).

About St Kerollos Pharmacy Inc NPPES

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

ST KEROLLOS PHARMACY INC (NPI 1306344858), doing business as Carson Discount Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Carson, California and active in the NPI registry since January 2018. The organization lists Bassem Nabil Habib Henein, Owner, as its authorized official.

NPPES Registry Identity

NPI1306344858
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameST KEROLLOS PHARMACY INC
Location Address111 E CARSON ST STE BCarson, CA 90745-7722
Mailing Address4566 Florence Ave Ste 4Bell, CA 90201-4346 · (323) 562-1651 · Fax (323) 562-1651
Phone(310) 835-1000
Fax(310) 835-3000
Organization SubpartNo
Authorized OfficialBassem Nabil Habib HeneinOwner · (562) 480-8254
Enumeration DateJanuary 30, 2018
Last NPPES UpdateApril 10, 20263 updates tracked since enumeration
NPPES CertifiedApril 10, 2026
✔ NPI 1306344858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY55991
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 SuppliesTaxonomy 332B00000X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
111 E CARSON ST STE B, Carson, CA 90745
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Other Names 1

Doing Business AsCarson Discount Pharmacy

Other Identifiers 3

Medicaid1306344858CA
OtherCB303409Medicare Mass Immunization Roster Bill Ptan
Other7591770003Medicare Dme Ptan

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 ›

Areas of Expertise CMS Part B claims 2

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.
29 services29 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.
27 services27 patients

Medical Equipment Supplier Medicare DMEPOS 17

Medicare supplier enrollment and the product categories Carson Discount Pharmacy carries, from the Medicare DMEPOS supplier directory.

Carson Discount Pharmacy

DMEPOS supplier · Carson, CAOperated by St Kerollos Pharmacy Inc
⋮

Does not accept Medicare assignment

Carson Discount Pharmacy has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20462939
Medicare Participant SinceJanuary 5, 2017
Supplier Location111 E Carson St Ste BCarson, CA 90745
Phone(310) 835-1000
Supplier Specialties
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
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 St Kerollos Pharmacy Inc's NPI number?

The NPI number for St Kerollos Pharmacy Inc is 1306344858. It was assigned to this organization in the NPPES registry on January 30, 2018. The provider is doing business as Carson Discount Pharmacy.

Where is St Kerollos Pharmacy Inc located?

St Kerollos Pharmacy Inc is located at 111 E Carson St Ste B, Carson, CA 90745. The listed phone number is (310) 835-1000.

What is St Kerollos Pharmacy Inc's specialty?

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

Does St Kerollos Pharmacy Inc accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Carson Discount Pharmacy does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

What insurance does St Kerollos Pharmacy Inc 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 49 other insurers list St Kerollos Pharmacy Inc 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 St Kerollos Pharmacy Inc was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.