Kubat Pharmacy Neligh, LLC
Organization Active NPI Community/Retail Pharmacy · Neligh, NE
NPI 1306099684 · NPPES record last updated Nov 3, 2022
Key facts
- NPI
- 1306099684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- KUBAT PHARMACY NELIGH, LLC
- Practice address
- 108 W 11TH St
Neligh, NE 68756-1066 - Phone
- (402) 887-5551
- Fax
- (402) 887-5581
- NPI assigned
- Oct 30, 2008
- Organization subpart
- No
Authorized official
- Name
- Anthony Schmid
- Title
- VP Pharmacy
- Phone
- (402) 350-4486
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221027002362 | NE | Part B Supplier - Mass Immunization (Roster Biller Only) | 6709253131 | Practice locations: Neligh, NE |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 2821 | NE | |
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
108 W 11TH St
Neligh, NE 68756-1066
Mailing address
108 W 11TH St
Neligh, NE 68756-1066
Phone (402) 887-5551
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025685700 | Medicaid | NE | |
| 2117590 | Other | PK |
Other names
- Hilltop Drugs Etc
- Kubat Healthcare
Other providers in Neligh, NE
- Kristina King
- Jacqueline Knievel
- Christy Knutson
- Brenda Sue Korth-Wurdinger
- Sheila Kropp
- Hugh F. Leigh
- Julio C Martinez Perez
- Andrea Petersen McGregor
- Natalie Dawn McKillip
- Jill Marie McNally
All providers in Neligh, NE · Community/Retail Pharmacy in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.