Organization Active NPI

St Kerollos Pharmacy Inc

Doing business as Carson Discount Pharmacy

  • Community/Retail Pharmacy
  • Carson, CA
National Provider Identifier
1306344858
Registry record updated Apr 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY55991 Issued in CA
Legal business name
ST KEROLLOS PHARMACY INC
Doing business as
Carson Discount Pharmacy
Practice address
111 E Carson St Ste B
Carson, CA 90745-7722
Phone
(310) 835-1000
Fax
(310) 835-3000
NPI assigned
Jan 30, 2018
Last updated
Apr 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2026

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

Authorized official

Name
Bassem Nabil Habib HeneinNPI 1578870366
Title
Owner
Phone
(562) 480-8254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X PHY55991 CA Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

111 E Carson St Ste B
Carson, CA 90745-7722

Mailing address

4566 Florence Ave Ste 4
Bell, CA 90201-4346
Phone (323) 562-1651

Other names 1

  • Carson Discount Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1306344858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 FLORENCE AVE STE 4",
            "city": "BELL",
            "state": "CA",
            "postal_code": "902014346",
            "telephone_number": "323-562-1651",
            "fax_number": "323-562-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E CARSON ST STE B",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907457722",
            "telephone_number": "310-835-1000",
            "fax_number": "310-835-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST KEROLLOS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "HENEIN",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_middle_name": "NABIL HABIB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-480-8254"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY55991",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.