NPIMap

Organization Active NPI

Kubat Pharmacy, LLC

Doing business as Deines Pharmacy a Kubat HealthCare Partner

  • Durable Medical Equipment & Medical Supplies
  • Beatrice, NE
National Provider Identifier
1841896461
Registry record updated Dec 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KUBAT PHARMACY, LLC
Doing business as
Deines Pharmacy a Kubat HealthCare Partner
Practice address
910 Court St Ste C
Beatrice, NE 68310-4085
Phone
(402) 223-4779
Fax
(402) 223-5610
NPI assigned
Dec 9, 2020
Last updated
Dec 7, 2023By 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 7, 2023

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

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

Addresses

Primary practice location

910 Court St Ste C
Beatrice, NE 68310-4085

Mailing address

4924 Center St
Omaha, NE 68106-3219
Phone (402) 558-8888

Other names 1

  • Deines Pharmacy a Kubat HealthCare Partner Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL BRIGHTREE Health Information Exchange (HIE)

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

910 Court St
Ste C
Beatrice, NE 68310
Phone (402) 223-4779

NPI Registry JSON

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1841896461",
    "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",
            "telephone_number": "402-558-8888",
            "fax_number": "402-558-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 COURT ST STE C",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683104085",
            "telephone_number": "402-223-4779",
            "fax_number": "402-223-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO RESPIRATORY HOLDCO, LLC",
        "enumeration_date": "2020-12-09",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "BRIGHTREE",
            "affiliation": "N",
            "endpointDescription": "SECURE 3RD PARTY SOFTWARE",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "NEHII",
            "address_1": "910 Court St",
            "city": "Beatrice",
            "state": "NE",
            "country_code": "US",
            "postal_code": "683104085",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Deines Pharmacy a Kubat HealthCare Partner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Deines Pharmacy a Kubat HealthCare Partner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beatrice, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.