Kubat Pharmacy, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

KUBAT PHARMACY, LLC

Practice address

11111 Mill Valley Rd
Omaha, NE 68154-3933

Phone

(402) 558-8888

Fax

(402) 558-7388

NPI assigned

Jun 8, 2005

Organization subpart

Yes

Parent organization

PERCIPIO RESPIRATORY HOLDCO, LLCAs reported in NPPES

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

Authorized official

Name

Mr. Brian Paul Daniel

Title

Evp Medical Operations

Phone

(402) 301-1307

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Kubat HealthCare Doing business as
• Kubat Pharmacy, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Kubat Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Fremont, NE
  • NPI 1265628259

  5597883959

  Same PAC ID
• Kubat Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Papillion, NE
  • NPI 1285376889

  5597883959

  Same PAC ID
• Kubat Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, NE
  • NPI 1538765920

  5597883959

  Same PAC ID
• Kubat Pharmacy, LLC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1720659923

  5597883959

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759449600000",
    "number": "1326042342",
    "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",
            "telephone_number": "402-558-1192",
            "fax_number": "402-558-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11111 MILL VALLEY RD",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543933",
            "telephone_number": "402-558-8888",
            "fax_number": "402-558-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO RESPIRATORY HOLDCO, LLC",
        "enumeration_date": "2005-06-08",
        "last_updated": "2025-10-03",
        "certification_date": "2025-10-03",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "EVP MEDICAL OPERATIONS",
        "authorized_official_telephone_number": "402-301-1307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326042342",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "2800832",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025950100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kubat HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kubat Pharmacy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Kubat Pharmacy, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Ta Mla Ku
• Tee Shee Ku
• Sarah M Kuag
• Kubat Clinical Services, LLC
• Kubat Custom Health Care, LLC
• Kubat Pharmacy, LLC
• Kubat Pharmacy, LLC
• Patricia Ann Kubat
• Erica Kube, LIMHP, CPC, BCN
• Marsha Ann Kubica, OD

• Durable Medical Equipment & Medical Supplies in Omaha, NE
• Providers in Omaha, NE by specialty
• Durable Medical Equipment & Medical Supplies in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.