KUBAT CUSTOM HEALTH CARE, LLC
NPI 1407033855
Pharmacy - Community/Retail Pharmacy in Omaha, NE

Active since January 29, 2008
11107 MILL VALLEY RD, OMAHA, NE 68154(402) 558-2474(402) 561-1252 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 30, 2026, Jun 3, 2021, May 4, 2021 and 1 more (4 updates tracked since 2016).

About Kubat Custom Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KUBAT CUSTOM HEALTH CARE, LLC (NPI 1407033855), doing business as Kubat Healthcare, is a healthcare organization registered as a community/retail pharmacy in Omaha, Nebraska and active in the NPI registry since January 2008. The organization lists Amy Tobias, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1407033855
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameKUBAT CUSTOM HEALTH CARE, LLC
Location Address11107 MILL VALLEY RDOmaha, NE 68154-3933
Mailing Address11107 Mill Valley RdOmaha, NE 68154-3933 · (402) 558-2474 · Fax (402) 561-1252
Fax(402) 561-1252
Organization SubpartYesParent: Percipio Kp Holdings, Llc
Authorized OfficialAmy TobiasPharmacist In Charge · (402) 558-2474
Enumeration DateJanuary 29, 2008
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
NPI 1407033855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X
11107 MILL VALLEY RD, Omaha, NE 68154

Other Names 2

Doing Business AsKubat Healthcare
Former Legal Business NameKubat Custom Health Care, Inc.

Other Identifiers 2

Medicaid47048968700NE
Other2818156Ncpdp

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
11107 MILL VALLEY RD
OMAHA, NE 68154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kubat Custom Health Care, LLC's NPI number?

The NPI number for Kubat Custom Health Care, LLC is 1407033855. It was assigned to this organization in the NPPES registry on January 29, 2008. The provider is doing business as Kubat HealthCare. The provider was formerly known as Kubat Custom Health Care, Inc..

Where is Kubat Custom Health Care, LLC located?

Kubat Custom Health Care, LLC is located at 11107 Mill Valley Rd, Omaha, NE 68154. The listed phone number is (402) 558-2474.

What is Kubat Custom Health Care, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Kubat Custom Health Care, LLC accept?

Health plans from SummaCare list Kubat Custom Health Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kubat Custom Health Care, LLC was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.