NUDAK VENTURES LLC (NPI# 1639251424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639251424 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES LLC |
| Other Organization Name | NUCARA PHARMACY #23 |
| Practice Address |
216 Washburne Ave Paynesville MN 56362-1643 |
| Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
| Practice Telephone | 3202433781 |
| Practice Fax Number | 3202432005 |
| Mailing Telephone | 6413663440 |
| Mailing Fax Number | 6413663442 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2017-04-19 |
| Authorized Official Name | LORI ANN WILLIS (ACQUISITIONS MANAGER) |
| 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 |
263879 | MN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2134996 | 01 | |
| MN | 1639251424 | 05 |
| Other Name | Type Code |
|---|---|
| NuCara Pharmacy #23 | 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 |
| 1700987435 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr Ste 100, Waterloo, IA 50702-5839 | 2006-09-26 |
| Street Address |
216 WASHBURNE AVE |
| City | PAYNESVILLE |
| State | MN |
| Zip Code | 56362-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790143998 | Terry Scott Johnson | Pharmacist | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2016-02-02 |
| 1306233069 | Francis Richard Mourning | Pharmacist | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2015-04-21 |
| 1558670547 | Lee J Landsteiner | Pharmacist | 216 Washburne Ave, Paynesville, MN 56362-1643 | 2010-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174055321 | Ginelle Rae Zimmerman | Family Medicine | 200 W 1st Street, Paynesville, MN 56362 | 2017-03-28 |
| 1710173877 | Jennifer Ann Klocker | Pharmacist | 200 West First Street, Paynesville, MN 56362 | 2007-09-21 |
| 1033322599 | Teresa Marie Winter | Massage Therapist | 750 State Hwy 55, Paynesville, MN 56362 | 2007-05-08 |
| 1336225838 | Donald Arther Millner | Dentist | 204 West James Street, Paynesville, MN 56362 | 2006-10-27 |
| 1760485908 | Todd D Lemke | Pharmacist | 200 First St W, Paynesville, MN 56362 | 2005-05-23 |
| 1700895604 | Daniel M Lillquist | Physician Assistant | 200 W 1st St, Paynesville, MN 56362 | 2006-08-07 |
| 1144288754 | Melissa Lynn Dols | Dietitian, Registered | 200 W 1st St, Paynesville, MN 56362 | 2006-05-03 |
| 1760440846 | Centracare Health - Paynesville LLC | Pharmacy | 200 W 1st St, Paynesville, MN 56362 | 2006-05-01 |
| 1275846487 | Paynesville Area Living At Home Block Nurse Program | Voluntary or Charitable | 1105 W Main St, Paynesville, MN 56362-1000 | 2010-07-16 |
| 1801420039 | Recovery Center LLC | Substance Abuse Rehabilitation Facility | 109 W James St, Paynesville, MN 56362-1216 | 2020-02-26 |
| Find all providers in zip 56362 | ||||
| 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 |
|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| Find all providers with the same taxonomy | ||||
| City | PAYNESVILLE |
| Zip Code | 56362 |
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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.