Active NPI
St Kerollos Pharmacy Inc
Doing business as Carson Discount Pharmacy
- Community/Retail Pharmacy
- Carson, CA
National Provider Identifier
1306344858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY55991
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bassem Nabil Habib Henein
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pharmacist
- Los Angeles, CA
- NPI 1578870366
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
- South Bay Family Healthcare Center
- Southbay Caregiving Solutions
- Southbay Family Medical Clinic
- Southbay Transportation Inc
- Kathryn Rose Spangenberg, PA-C
- Star View Behavioral Health, Inc.
- Star View Behavioral Health, Inc. (Star View Community Services)
- Stephdoly Behavioral Health Services
- Debra Susan Stern, M.P.T.
- Anita Joyce Stevens
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.