Organization Active NPI

St Luke Pharmacy Inc

  • Community/Retail Pharmacy
  • Paramount, CA
National Provider Identifier
1982716973
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PHY44640 Issued in CA
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210215000264 CA Part B Supplier - Mass Immunization (Roster Biller Only) 9133240278 Practice locations: Paramount, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

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.

Verify at the official NPI Registry.