Organization · Type 2 NPI

Kubat Custom Health Care, LLC

Community/Retail Pharmacy · Omaha, NE

NPI number 1407033855 Active

Practice location

11107 Mill Valley Rd
Omaha, NE 68154-3933

Fax (402) 561-1252

Specialties and licenses

Taxonomy	Code	License
Pharmacy	333600000X	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Compounding Pharmacy	3336C0004X	None listed
Mail Order Pharmacy	3336M0002X	None listed

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 …

Another provider at this address

Amy Christine Tobias, PharmDPharmacist Omaha, NE NPI 1629686217

Other community/retail pharmacy providers in Omaha

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NPI record

NPI: 1407033855
Entity type: Organization (Type 2)
Issued: Jan 29, 2008
Last updated: Jan 30, 2026
Status: Active
Subpart: Yes of Percipio KP Holdings, LLC

Other names

<unavail>
Kubat Healthcare · doing business as
Kubat Custom Health Care, Inc. · former legal business name
Kubat Custom Health Care, Inc. · former legal business name

Authorized official

Amy Tobias
Pharmacist In Charge
(402) 558-2474

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1407033855

Kubat Custom Health Care, LLC's National Provider Identifier is 1407033855, issued on Jan 29, 2008. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Omaha, NE. The record was last updated on Jan 30, 2026.