Kubat Health Care of Norfolk, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

KUBAT HEALTH CARE OF NORFOLK, LLC

Practice address

120 N 27TH St Ste 100
Norfolk, NE 68701-3286

Phone

(531) 301-6660

Fax

(402) 371-3566

NPI assigned

Jul 6, 2021

Organization subpart

Yes

Parent organization

PERCIPIO KP HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Brian Daniel

Title

Chief Operating Officer

Phone

(402) 315-1944

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kubat HealthCare Doing business as

Locations

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

{
    "created_epoch": "1625529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1700457330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 N 27TH ST",
            "address_2": "STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013286",
            "telephone_number": "402-371-3444",
            "fax_number": "402-371-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N 27TH ST STE 100",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013286",
            "telephone_number": "531-301-6660",
            "fax_number": "402-371-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT HEALTH CARE OF NORFOLK, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO KP HOLDINGS, LLC",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "402-315-1944"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026883100",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kubat HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kubat HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Kruid
• Carrie A Kruse
• Julieth Bautista Kruse
• Gina Krysl, PLMHP, PLADC
• Brianna Elizabeth Krystof
• Kubat Pharmacy, LLC
• Jackson Wesley Kube, OD
• Libbie Anessa Kubicek
• McKenzie Anne Kucera
• Kuchar Chiropractic, P.C.

• Pharmacy in Norfolk, NE
• Providers in Norfolk, NE by specialty
• Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.