NUDAK VENTURES LLC (NPI# 1700941200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700941200 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES LLC |
| Practice Address |
101 W Vallette St Elmhurst IL 60126-4419 |
| Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
| Practice Telephone | 6308341223 |
| Practice Fax Number | 6308346643 |
| Mailing Telephone | 6413663440 |
| Mailing Fax Number | 6413663442 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2017-12-21 |
| 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 | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
054.018037 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2137678 | 01 |
| 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 |
| 1588879167 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-05-14 |
| 1174743876 | Timothy Michael Richardson | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-04-26 |
| 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 | 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 |
|---|---|---|---|---|
| 1497272652 | Sono Rx Inc | Pharmacy | 82-25 Queens Blvd #1b, Elmhurst, NY 11373 | 2017-08-28 |
| 1679008957 | Yk Pharmacy LLC | Pharmacy | 8306 Broadway, Elmhurst, NY 11373-5726 | 2017-04-25 |
| 1932579125 | Gogo Pharmacy LLC | Pharmacy | 8309 Broadway, Elmhurst, NY 11373-5794 | 2015-09-30 |
| 1699154732 | Elmway II Pharmacy Inc | Pharmacy | 8607 51st Ave, Elmhurst, NY 11373-3922 | 2015-05-21 |
| 1801296603 | Ghazala Nawaz | Pharmacy | 8737 Britton Ave, Elmhurst, NY 11373-1435 | 2014-08-28 |
| 1184068777 | Roundys Supermarkets Inc | Pharmacy | 678 N York St, Elmhurst, IL 60126-1605 | 2013-04-25 |
| 1083952154 | Family Drug Inc. | Pharmacy | 8655 Broadway, Elmhurst, NY 11373-5820 | 2013-01-24 |
| 1194884197 | 1219 First Avenue Pharmacy Inc | Pharmacy | 9330 43rd Ave, Elmhurst, NY 11373-5626 | 2006-12-06 |
| 1497858161 | Highland Park Cvs, L.L.C. | Pharmacy | 110 W North Ave, Elmhurst, IL 60126-2736 | 2006-09-07 |
| 1467461996 | Elmhurst Pharmacy, Inc. | Pharmacy | 7523 Broadway, Elmhurst, NY 11373-5612 | 2006-08-05 |
| Find all providers in ELMHURST | ||||
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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.