Kubat Pharmacy Louisville, LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

KUBAT PHARMACY LOUISVILLE, LLC

Doing business as

Blakes Pharmacy - Long Term Care

Practice address

213 Main St
Louisville, NE 68037-6032

Phone

(402) 234-3025

NPI assigned

Oct 7, 2021

Organization subpart

No

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

Authorized official

Name

Anthony Schmid, PHARMD

Title

Director of Pharmacy

Phone

(531) 233-4455

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blakes Pharmacy - Long Term Care Doing business as

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1063174084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 CENTER ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 MAIN ST",
            "city": "LOUISVILLE",
            "state": "NE",
            "postal_code": "680376032",
            "telephone_number": "402-234-3025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT PHARMACY LOUISVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-07",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "SCHMID",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "531-233-4455",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026892200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blakes Pharmacy - Long Term Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brianna F Jarosz, RN
• Paige Jone
• Debra Kelly, SLP
• Abby Kenner, RN
• Wyatt James Kipp, DPT
• Kubat Pharmacy Louisville, LLC (Blakes Pharmacy, a Kubat HealthCare Partner)
• Patrick Lebeau
• Louisville Care Center
• Louisville Care Center
• Louisville Care Center Assisted Living

• Long Term Care Pharmacy in Louisville, NE
• Providers in Louisville, NE by specialty
• Long Term Care Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; 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.