Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
ST KEROLLOS PHARMACY INC
Active
Organization
ST KEROLLOS PHARMACY INC
Active
Other names
American Home Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
BASSEM HENEIN (CEO)
(323) 562-1577
Entity
Organization
Contact information
Practice address
4566 FLORENCE AVE, STE 4, BELL, CA 90201-4345
(323) 562-1578
(323) 562-1651
Mailing address
4566 FLORENCE AVE, STE 4, BELL, CA 90201-4345
(323) 562-1578
(323) 562-1651
Taxonomy
Speciality
Code
Description
License number
State
332BN1400X
Nursing Facility Supplies (DME)
—
NULL
333600000X
Pharmacy
—
NULL
3336C0003X
Community/Retail Pharmacy
—
NULL
3336L0003X
Long Term Care Pharmacy
Primary
PHY54606
CA
3336M0003X
Managed Care Organization Pharmacy
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2166189
PK
—
Enumeration date
01/02/2008
Last updated
04/05/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers