Organization
KUBAT CUSTOM HEALTH CARE, LLC
Active
Parent organization
PERCIPIO KP HOLDINGS, LLC
Other names
Kubat HealthCare, Kubat Custom Health Care, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERCIPIO KP HOLDINGS, LLC
Authorized official
AMY TOBIAS (PHARMACIST IN CHARGE)
(402) 558-2474
Entity
Organization
Contact information
Practice address
11107 MILL VALLEY RD, OMAHA, NE 68154-3933
(402) 558-2474
(402) 561-1252
Mailing address
11107 MILL VALLEY RD, OMAHA, NE 68154-3933
(402) 558-2474
(402) 561-1252
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336C0004X
Compounding Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2818156
NCPDP
—
05
—
47048968700
—
NE
Enumeration date
01/29/2008
Last updated
01/30/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us