NUDAK VENTURES LLC (NPI# 1124039631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124039631 |
Entity Type | Organization |
Organization Name | NUDAK VENTURES LLC |
Other Organization Name | NUCARA PHARMACY #27 |
Practice Address |
4927 Maple Dr Ste. 100 Pleasant Hill IA 50327-2030 |
Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
Practice Telephone | 5152641503 |
Practice Fax Number | 5152656124 |
Mailing Telephone | 6413663440 |
Mailing Fax Number | 6413663442 |
Enumeration Date | 2006-08-10 |
Last Update Date | 2017-04-19 |
Authorized Official Name | LORI ANN WILLIS (DIRECTOR OF RECEIVABLES) |
Authorized Official Telephone | 6413663440 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
N | 333600000X | Pharmacy | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1436 | IA | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PK | 2137747 | 01 | |
IA | 0403978 | 05 |
Other Name | Type Code |
---|---|
NuCara Pharmacy #27 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447778253 | Nudak Ventures LLC | Pharmacy | 323 E Main Street, Montezuma, IA 50171 | 2017-08-31 |
1912365412 | Nudak Ventures LLC | Pharmacy | 1150 5th St Ste 150, Coralville, IA 52241-2929 | 2016-01-29 |
1942605290 | Nudak Ventures LLC | Pharmacy | 108 Main St W, State Center, IA 50247-7769 | 2014-10-29 |
1922440460 | Nudak Ventures LLC | Pharmacy | 2000d S Main St, Fairfield, IA 52556-9572 | 2013-07-25 |
1306903992 | Nudak Ventures LLC | Pharmacy | 105 W Main St Ste A, Ottumwa, IA 52501-2542 | 2007-01-02 |
1366508376 | Nudak Ventures LLC | Pharmacy | 5042 Maple Dr, Pleasant Hill, IA 50327-2039 | 2006-12-28 |
1245393263 | Nudak Ventures LLC | Durable Medical Equipment & Medical Supplies | 118 W Center St, Monona, IA 52159-8224 | 2006-12-19 |
1174682561 | Nudak Ventures LLC | Pharmacy | 119 N Vine St, West Union, IA 52175-1346 | 2006-12-08 |
1720160518 | Nudak Ventures LLC | Pharmacy | 417 Nw 1st Ave, Grand Rapids, MN 55744-2617 | 2006-10-20 |
1639251424 | Nudak Ventures LLC | Pharmacy | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2006-10-20 |
Street Address |
4927 MAPLE DR STE. 100 |
City | PLEASANT HILL |
State | IA |
Zip Code | 50327-2030 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871089458 | Jeffrey J Mullen | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2018-07-06 |
1922591825 | Jennifer Cardines | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2018-06-14 |
1205329109 | Jennifer Marie Alexander | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2018-06-14 |
1487057378 | Megan Campbell | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2014-10-06 |
1821202631 | Elizabeth Marie Bomer | Pharmacist | 4927 Maple Dr, Pleasant Hill, IA 50327-2030 | 2007-05-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386172153 | Louis Wenger | Dentist | 5890 Morning Star Court, Pleasant Hill, IA 50327 | 2017-05-24 |
1154482982 | Southeast Polk Community School District | Local Education Agency (LEA) | 8379 Ne University Ave., Pleasant Hill, IA 50327 | 2006-12-13 |
1093810269 | Harold Robert Shelton | Chiropractor | 4800 Maple Dr, Pleasant Hill, IA 50327 | 2006-09-13 |
1578512778 | Eye Care of Iowa PC | Optometrist | 5075 E University Ave, Ste C, Pleasant Hill, IA 50327 | 2006-05-08 |
1528597457 | Aaron Jones | Dentist | 1286 Copper Creek Dr, Pleasant Hill, IA 50327 | 2017-06-05 |
1871049668 | Megan Hanson | Physician Assistant | 5900 E. University Avenue, Suite 100, Pleasant Hill, IA 50327 | 2016-08-31 |
1891148151 | Macy Dieleman | Optometrist | 5075 E University Ave, Pleasant Hill, IA 50327 | 2016-07-21 |
1184802258 | Somnicare, Inc. | Durable Medical Equipment & Medical Supplies | 1225 Copper Creek Dr, Ste G, Pleasant Hill, IA 50327 | 2008-01-31 |
1770129041 | Eric Smargiasso | Hearing Instrument Specialist | 4440 E University Ave, Pleasant Hill, IA 50327-1701 | 2019-11-21 |
1437369998 | Kristina Kay Naeve | Chiropractor | 4430 E University Ave, Pleasant Hill, IA 50327-1701 | 2007-05-23 |
Find all providers in zip 50327 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | 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 health care providers, collaborative practice, disease state management, and education classes. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376686089 | Donald B. Fox | Pharmacy | 2100 Monument Blvd Ste 20, Pleasant Hill, CA 94523-3400 | 2007-02-14 |
1366508376 | Nudak Ventures LLC | Pharmacy | 5042 Maple Dr, Pleasant Hill, IA 50327-2039 | 2006-12-28 |
1386684173 | Cosentino Enterprises Inc | Pharmacy | 2101 N Highway 7, Pleasant Hill, MO 64080-9374 | 2006-06-08 |
1932195922 | C&k Express, LLC | Pharmacy | 84899 Tillicum Ave, Suite 7, Pleasant Hill, OR 97455-9683 | 2005-09-23 |
1538203609 | Save Mart Supermarkets | Pharmacy | 155 Crescent Plz, Pleasant Hill, CA 94523-5505 | 2007-02-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013546308 | Hy Vee Inc | Pharmacy | 911 S K Ave, Vinton, IA 52349-1073 | 2020-04-07 |
1164050944 | Corridor Pharmacy | Pharmacy | 650 W Cherry St Ste 7, North Liberty, IA 52317-9025 | 2020-03-29 |
1932740024 | St Luke's Jones Regional Medical Center | Pharmacy | 1795 Highway 64 E Ste 2, Anamosa, IA 52205-2112 | 2019-10-01 |
1316407018 | Harlan Pharmacy, LLC | Pharmacy | 1024 5th St, Harlan, IA 51537-1427 | 2019-03-20 |
1306304027 | State University of Iowa | Pharmacy | 1360 N Dodge St Ste 1100, Iowa City, IA 52245-6104 | 2019-03-12 |
1265999387 | Bancroft Apothecary Lp | Pharmacy | 106 W Ramsey St, Bancroft, IA 50517-8078 | 2019-02-25 |
1023588159 | Mark Oleson | Pharmacy | 1100 Broad Street, Adair, IA 50002 | 2018-12-02 |
1598235723 | Cjk Pharmacy, LLC | Pharmacy | 3100 E Ave Nw Ste 102, Cedar Rapids, IA 52405-2962 | 2018-11-30 |
1144701582 | Madsen Inc | Pharmacy | 307 2nd. St., Gladbrook, IA 50635-5063 | 2018-08-23 |
1376024869 | Hy Vee Inc | Pharmacy | 3285 Crosspark Road, Coralville, IA 52241 | 2018-08-23 |
Find all providers with the same taxonomy |
City | PLEASANT HILL |
Zip Code | 50327 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.