Kubat Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KUBAT PHARMACY, LLC

Practice address

350 W 23Rd St
Fremont, NE 68025-2592

Phone

(402) 727-4004

NPI assigned

Dec 2, 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 1

Addresses

Other names 1

• Kubat HealthCare Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randy Lee Heenan, PHARMD

  • Pharmacist
  • Omaha, NE
  • NPI 1013527464
  NPD (past)

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1891453247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-727-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 W 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252592",
            "telephone_number": "402-727-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUBAT PHARMACY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PERCIPIO KP HOLDINGS, LLC",
        "enumeration_date": "2021-12-02",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kubat HealthCare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kubat HealthCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronald L. Korbelik, DPM
• Tina Korth
• Margaret Elizabeth Krause
• Lois Yvonne Krohn, RN
• Kubat Pharmacy, LLC
• Michael Aloysius Kubat
• Launa Jean Kudrna, CMSW, LMHP
• Kendall Renee Kuhlmann
• Belinda Lee Kukoly, RN
• Malainie Cheryl Kumm

• Community/Retail Pharmacy in Fremont, NE
• Providers in Fremont, NE by specialty
• Community/Retail Pharmacy in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.