OrganizationActive
Kubat Custom Health Care, LLC
NPI 1407033855 · Community/Retail Pharmacy · Omaha, NE
Provider details
- NPI number
- 1407033855
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Percipio Kp Holdings, LLC
- Organization subpart
- Yes
- Authorized official
- Amy Tobias, Pharmacist in Charge(402) 558-2474
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11107 Mill Valley Rd
Omaha, NE 68154-3933
Phone: (402) 558-2474
Fax: (402) 561-1252
Street-level locationGet directions
Mailing address
11107 Mill Valley Rd
Omaha, NE 68154-3933
Other names (DBA / former)
- Former legal business name
- Kubat Custom Health Care, Inc.
- Former legal business name
- Kubat Custom Health Care, Inc.
- Doing business as
- Kubat Healthcare
Registry dates
- Enumerated
- 2008-01-29
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.