Active NPI
St Luke Pharmacy Inc
- Community/Retail Pharmacy
- Paramount, CA
National Provider Identifier
1982716973
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PHY44640
- Legal business name
- ST LUKE PHARMACY INC
- Doing business as
- St Luke Pharmacy Inc
- Practice address
- 16402 Paramount Blvd
Paramount, CA 90723-5428 - Phone
- (562) 220-2793
- Fax
- (562) 220-2753
- NPI assigned
- Aug 31, 2006
- Last updated
- Mar 4, 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
- Emile Abdo
- Title
- Ceo
- Phone
- (562) 220-2793
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Community/Retail Pharmacy | 3336C0003X | PHY44640 | CA | Primary |
Addresses
Primary practice location
16402 Paramount Blvd
Paramount, CA 90723-5428
Mailing address
16402 Paramount Blvd
Paramount, CA 90723-5428
Phone (562) 220-2793
Other names 1
- ST LUKE PHARMACY INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210215000264 | CA | Part B Supplier - Mass Immunization (Roster Biller Only) | 9133240278 | Practice locations: Paramount, CA |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba St. Luke Pharmacy #4
- Community/Retail Pharmacy
- Norwalk, CA
- NPI 1508256256
Member Of
Locations
16402 Paramount Blvd
Paramount, CA 90723
Phone (562) 220-2630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1772582400000",
"number": "1982716973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16402 PARAMOUNT BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235428",
"telephone_number": "562-220-2793",
"fax_number": "562-220-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16402 PARAMOUNT BLVD",
"city": "PARAMOUNT",
"state": "CA",
"postal_code": "907235428",
"telephone_number": "562-220-2793",
"fax_number": "562-220-2753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST LUKE PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A",
"authorized_official_last_name": "ABDO",
"authorized_official_first_name": "EMILE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "562-220-2793"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "CA",
"license": "PHY44640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ST LUKE PHARMACY INC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paramount, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.