NUDAK VENTURES LLC (NPI# 1588879167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588879167 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES LLC |
| Other Organization Name | NUCARA PHARMACY LONG TERM CARE |
| Practice Address |
101 W Vallette St Elmhurst IL 60126-4419 |
| Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
| Practice Telephone | 6308341260 |
| Practice Fax Number | 6308343166 |
| Mailing Telephone | 6413663440 |
| Mailing Fax Number | 6413663442 |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | LORI WILLIS (ACQUISITIONS MANAGER) |
| Authorized Official Telephone | 6413663440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
54.018039 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138301 | 01 |
| Other Name | Type Code |
|---|---|
| NuCara Pharmacy Long Term Care | 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 |
101 W VALLETTE ST |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933003 | Donald Albert Meyer | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2005-12-16 |
| 1134475106 | Timothy Scott Hass | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2012-07-27 |
| 1396026746 | Amy Harriman | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2011-08-30 |
| 1497935878 | Nudak Ventures, LLC | Pharmacy | 101 W Vallette St, Ste 140, Elmhurst, IL 60126-4419 | 2007-11-14 |
| 1174743876 | Timothy Michael Richardson | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-04-26 |
| 1700941200 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-12-26 |
| 1629149778 | Gail A Cody | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-12 |
| 1861571044 | Dale Norman Foster | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1518192442 | Pharmacy Alternatives LLC | Pharmacy | 501 W Lake St, Suite 105, Elmhurst, IL 60126-1419 | 2009-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512989 | Millenium Pharmacy Ltd | Pharmacy | 10604 Southwest Hwy Ste 102, Chicago Ridge, IL 60415-2704 | 2020-09-15 |
| 1992265235 | Illini Clinic Pharmacy Inc | Pharmacy | 211 S 1st Street, Alpha, IL 61413 | 2019-03-22 |
| 1750841342 | Illini Clinic Pharmacy Inc | Pharmacy | 855 Illini Dr Ste 200, Silvis, IL 61282-2904 | 2019-03-21 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1720574676 | Critical Care Rx, LLC | Pharmacy | 126 Oak St, Peoria, IL 61602 | 2018-07-03 |
| 1538672449 | Wear Ltc | Pharmacy | 527 N Madison St Ste B, Carthage, IL 62321-1034 | 2017-11-14 |
| 1124546031 | Symbria Rx Services, LLC. | Pharmacy | 3200 Grant St Rm 41, Evanston, IL 60201-1903 | 2017-08-31 |
| 1699146720 | Pharmblue Illinois LLC | Pharmacy | 2960 Chartres St Ste 100, La Salle, IL 61301-1097 | 2015-10-15 |
| 1194144691 | Lifemed Illinois, LLC | Pharmacy | 881 Il Route 83, Bensenville, IL 60106-1219 | 2014-04-11 |
| 1205250412 | Becks Long Term Care Pharmacy Inc | Pharmacy | 1413 Locust Street, Eldorado, IL 62930 | 2014-02-07 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NUDAK VENTURES LLC.
| 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.