Issam A Kutteh

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP-034169L Issued in PA

Practice address

1249 Horseshoe Pike
Rite-Aid Pharmacy# 3768
Downingtown, PA 19335

Phone

(610) 873-3720

NPI assigned

Jun 9, 2014

Last updated

Jun 9, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1518370444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1249 HORSESHOE PIKE",
            "address_2": "RITE-AID PHARMACY# 3768",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "19335",
            "telephone_number": "610-873-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 HORSESHOE PIKE",
            "address_2": "RITE-AID PHARMACY# 3768",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "19335",
            "telephone_number": "610-873-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTTEH",
        "first_name": "ISSAM",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP-034169L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristina Kubala, M.S. CCC-SLP
• Leslie H Kubera, MA, RD, LDN
• Kerry Kunka, RDN
• Maggie Kurtz, M.S.
• Donna Marie Kusnierczyk, MA
• Megan P Kutz, M.ED
• June Carolyn Kuz, MS, RD, LDN, HFI
• Erin Kyler, M.A., CCC-SLP
• Lavnya LLC
• Lawrence K Alwine D O (Downingtown Family Medicine)

• Pharmacist in Downingtown, PA
• Providers in Downingtown, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.