KUBAT PHARMACY LLC NPI 1326042342

NPI Information

NPI: 1326042342
Provider Name: KUBAT PHARMACY, LLC

Former Legal Business Name: KUBAT PHARMACY, INC.

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4924 CENTER ST
OMAHA, NE
ZIP 68106
Phone: (402) 558-8888
Get Directions

KUBAT PHARMACY, LLC is a durable medical equipment medical supplies in Omaha, NE. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. KUBAT PHARMACY, LLC NPI is 1326042342. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Kubat Pharmacy, Inc..

The provider's business location address is:

4924 CENTER ST
OMAHA, NE
ZIP 68106-219
Phone: (402) 558-8888
Fax: (402) 558-7388

The provider's authorized official is Brian Paul Daniel .
The authorized official title is Evp Medical Operations and has the following contact phone number (402) 301-1307.

The enumeration date for this NPI number is 6/8/2005 and was last updated on 12/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	3336S0011X	Pharmacy	Specialty Pharmacy	No
2	3336C0003X	Pharmacy	Community/Retail Pharmacy	No
3	332B00000X	Durable Medical Equipment & Medical Supplies		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2800832	OTHER		NCPDP
2	10025950100	MEDICAID	NEBRASKA
3	1326042342	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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