Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

St Kerollos Pharmacy Inc

Q: What type of organization is St Kerollos Pharmacy Inc?

St Kerollos Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

Community/Retail Pharmacy in Cudahy, CA · enumerated 2006 · authorized official Bassem Henein, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992716583

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Registry record

Entity type Organization (Type 2)

Legal business name St Kerollos Pharmacy Inc

Other name <Unavail>

Practice address 4566 Florence Ave, Ste 9, Cudahy, CA, 90201

Phone (323) 562-1577

Fax (323) 733-5140

Enumeration date Aug 10, 2006

Last updated in NPPES Mar 24, 2017

Taxonomy & classification

332BN1400X Nursing Facility Supplies (DME) Suppliers Secondary

332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PHY54607 (CA) Primary

3336L0003X Long Term Care Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Bassem Henein

Title Ceo

Phone (323) 562-1578

Other identifiers

Identifier	Type	State	Issuer
1992716583	Medicaid	CA	-
2166511	Other	-	PK

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is St Kerollos Pharmacy Inc?

St Kerollos Pharmacy Inc is registered in NPPES as a Community/Retail Pharmacy (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Lydia Oftadeh Specialist · Cudahy, CA NPI 1912964255 Bertha Alarcon-Vargas General Practice Dentistry · Cudahy, CA NPI 1073570248 Victoria Lovato Optometrist · Cudahy, CA NPI 1316983422 Casimiro Gonzalez Ophthalmology Physician · Cudahy, CA NPI 1851497911 Marco Martinez Nephrology Physician · Cudahy, CA NPI 1700924909 St Kerollos Pharmacy Inc Long Term Care Pharmacy · Bell, CA NPI 1922283621 Adhemar Uyuni Internal Medicine Physician · Bell, CA NPI 1801057542 Marco A. Martinez, M.D. Inc Internal Medicine Physician · Cudahy, CA NPI 1134447089

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-03-24.