KUBAT CUSTOM HEALTH CARE INC (NPI# 1407033855) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407033855 |
| Entity Type | Organization |
| Organization Name | KUBAT CUSTOM HEALTH CARE INC |
| Other Organization Name | KUBAT CUSTOM HEALTH CARE INC |
| Practice Address |
4924 Center St Ste A1 Omaha NE 68106-3219 |
| Practice Telephone | 4025582474 |
| Practice Fax Number | 4025611252 |
| Mailing Telephone | 4025582474 |
| Mailing Fax Number | 4025611252 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2016-11-07 |
| Authorized Official Name | MICHAEL KUBAT (PHARMACIST/OWNER) |
| Authorized Official Telephone | 4025582474 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| N | 3336M0002X |
Pharmacy Specialization: Mail Order Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
2323 | NE | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2129910 | 01 | |
| NE | 470489687-00 | 05 |
| Other Name | Type Code |
|---|---|
| Kubat Custom Health Care Inc | Doing Business As Name - Organization |
| Street Address |
4924 CENTER ST STE A1 |
| City | OMAHA |
| State | NE |
| Zip Code | 68106-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912477571 | Cara Ann Ehegartner | Counselor | 6818 Grover St Suite 200, Omaha, NE 68106 | 2018-11-27 |
| 1861961401 | Kara D. Legrow | Counselor | Legrow Therapy Services, 6910 S Pacific St., Ste #320, Omaha, NE 68106 | 2018-11-13 |
| 1154896249 | Bina Bastola | Registered Nurse | 4444marinda Street, Omaha, NE 68106 | 2018-10-04 |
| 1508354242 | Joshua Michael Brown | Psychologist | 6818 Grover St Ste 301a, Omaha, NE 68106 | 2018-04-27 |
| 1518482629 | Robert Elmore | Pathology | 7710 Mercy Road, Suite 202 - Cu Dept of Pathology, Omaha, NE 68106 | 2017-08-09 |
| 1902331911 | Takeaki Ando | Student in an Organized Health Care Education/Training Program | 6910 Spring Street Apartment 316, Omaha, NE 68106 | 2017-04-27 |
| 1881130482 | Maverick Family Chiropractic, LLC | Chiropractor | 5002 Center St., Suite 4, Omaha, NE 68106 | 2017-01-06 |
| 1528411444 | Kelley Carlson | Dentist | 2141 S 63rd St, Omaha, NE 68106 | 2016-07-15 |
| 1598161911 | Nao Kozawa | Specialist/Technologist | 1102 S 60th St, Omaha, NE 68106 | 2014-11-12 |
| 1568866341 | Joel Peck | Pharmacist | 888 South Saddlecreek Rd, Omaha, NE 68106 | 2014-10-22 |
| Find all providers in zip 68106 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801374491 | Walnut Creek LLC | Pharmacy | 11020 Q Street, Omaha, NE 68137 | 2018-08-06 |
| 1568704948 | Jsk Drug LLC | Pharmacy | 11722 Stonegate Cir, Omaha, NE 68164-3692 | 2013-03-22 |
| 1164763470 | Midwest Surgical Hosptial, LLC. | Pharmacy | 7915 Farnam Dr, Omaha, NE 68114-4504 | 2013-03-12 |
| 1427397322 | Stonybrook Pharmacy LLC | Pharmacy | 13921 S Plz, Omaha, NE 68137-2916 | 2013-02-12 |
| 1710206768 | Nf Foods LLC | Pharmacy | 1221 S 203rd St, Omaha, NE 68130-2808 | 2010-05-28 |
| 1326295478 | Rockbrook Health Mart Pharmacy | Pharmacy | 10913 Prairie Brook Rd, Omaha, NE 68144-4828 | 2008-08-20 |
| 1124211206 | Costco Wholesale Corporation | Pharmacy | 12300 W Dodge Rd, Omaha, NE 68154 | 2007-08-22 |
| 1932242609 | No Frills Pharmacy LLC | Pharmacy | 8005 Blondo St, Omaha, NE 68134-6664 | 2007-02-14 |
| 1013050780 | No Frills Pharmacy LLC | Pharmacy | 820 N Saddle Creek Rd, Omaha, NE 68132-2520 | 2007-02-14 |
| 1194866582 | Keystone Wholesale Co | Pharmacy | 7328 Maple St, Omaha, NE 68134-6829 | 2007-02-09 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.