St Luke Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ST LUKE PHARMACY LLC

Practice address

46440 Benedict Dr Ste 103
Sterling, VA 20164-6602

Phone

(571) 926-8786

Fax

(571) 325-2967

NPI assigned

Sep 6, 2023

Organization subpart

No

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

Authorized official

Name

Mena Botros, RPHNPI 1144817065

Title

Pharmacist

Phone

(571) 926-8786

Specialties & licenses 1

Addresses

Other names 1

• ST LUKE PHARMACY Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mena Nazer Halim Botros

  • Pharmacist
  • Sterling, VA
  • NPI 1144817065
  NPD Authorized official

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

{
    "created_epoch": "1693958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1386420263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-926-8786",
            "fax_number": "571-325-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46440 BENEDICT DR STE 103",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201646602",
            "telephone_number": "571-926-8786",
            "fax_number": "571-325-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-06",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "BOTROS",
        "authorized_official_first_name": "MENA",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "571-926-8786",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST LUKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ST LUKE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Spafford, LPC
• Annemarie Alyse Spooner, MD
• Sport & Spine Rehab of Sterling
• Sports Performance Chiropractic
• Ananya Sriram
• Lillian Clarise St. Laurent, L.P.C.
• Charlien Anne Staltare
• Erica Stapler, BCBA, LBA
• Brittany Starr, ATC, PA-C
• Tatiana Staver, DDS

• Community/Retail Pharmacy in Sterling, VA
• Providers in Sterling, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.