NPIMap

Organization Active NPI

Kubat Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Council Bluffs, IA
National Provider Identifier
1154285674
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KUBAT PHARMACY, LLC
Practice address
928 Valley View Dr Ste 16
Council Bluffs, IA 51503-5288
Phone
(712) 435-4040
NPI assigned
Dec 10, 2025
Last updated
Dec 10, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
PERCIPIO RESPIRATORY HOLDCO, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Authorized official

Name
Jennifer Lundstrom
Title
Respiratory Director
Phone
(402) 558-1192

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

928 Valley View Dr Ste 16
Council Bluffs, IA 51503-5288

Mailing address

3206 S 71St St
Omaha, NE 68106-3507

National Provider Directory

National Provider Directory
Tax ID family
Kubat Pharmacy Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

928 Valley View Dr
Ste 16
Council Bluffs, IA 51503
Phone (712) 435-4040

NPI Registry JSON

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

{
    "created_epoch": "1765324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765324800000",
    "number": "1154285674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3206 S 71ST ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681063507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 VALLEY VIEW DR STE 16",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035288",
            "telephone_number": "712-435-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO RESPIRATORY HOLDCO, LLC",
        "enumeration_date": "2025-12-10",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A",
        "authorized_official_last_name": "LUNDSTROM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "RESPIRATORY DIRECTOR",
        "authorized_official_telephone_number": "402-558-1192"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

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