Hussam Ibrahim Kutbi, PHARM.D.

Primary specialty

PharmacistTaxonomy code 183500000X

License

S018580 Issued in AZ

Practice address

1295 N Martin
Medication Management Center
Tucson, AZ 85721-0001

Phone

(520) 626-7903

NPI assigned

Jul 10, 2012

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• State of Arizona

  • Clinic Pharmacy
  • Tucson, AZ
  • NPI 1730295684
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1720343239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 N PASEO DE LOS RIOS APT 15205",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857126089",
            "telephone_number": "520-626-7903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 N MARTIN",
            "address_2": "MEDICATION MANAGEMENT CENTER",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857210001",
            "telephone_number": "520-626-7903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTBI",
        "first_name": "HUSSAM",
        "middle_name": "IBRAHIM",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S018580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Kuser, NP-C
• David Michael Kushner, DDS
• May Grace Kushner, NP
• Michael Charles Kushner, M.D., M.P.H.
• Barry Kusman, M.D.
• Randa M Kutob, MD
• Sharon Lore Kutok
• Sibongile Lubasi Kutoma, MD
• Eric Chon Kutscher, PHARMD, MBA, FASHP
• Joleen Kuzdas

• Pharmacist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.