King Tut Pharmacy LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KING TUT PHARMACY LLC

Practice address

90 E 3Rd St
Suite B
Douglas, AZ 85607-3154

Phone

(520) 364-6304

Fax

(520) 634-1157

NPI assigned

Apr 6, 2018

Last updated

Oct 6, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kariem Ismail

Title

Owner/Pic/Ao

Phone

(520) 220-1281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• King Tut Pharmacy Other name

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1548767650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 E 3RD ST",
            "address_2": "SUITE B",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856073154",
            "telephone_number": "520-364-6304",
            "fax_number": "520-634-1157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 E 3RD ST",
            "address_2": "SUITE B",
            "city": "DOUGLAS",
            "state": "AZ",
            "postal_code": "856073154",
            "telephone_number": "520-364-6304",
            "fax_number": "520-634-1157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KING TUT PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "KARIEM",
        "authorized_official_title_or_position": "OWNER/PIC/AO",
        "authorized_official_telephone_number": "520-220-1281"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176895",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "King Tut Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "King Tut Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Durable Medical Equipment & Medical Supplies in Douglas, AZ
• Providers in Douglas, AZ by specialty
• Durable Medical Equipment & Medical Supplies in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.