NUDAK VENTURES, LLC (NPI# 1922231364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922231364 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES, LLC |
| Other Organization Name | NUCARA PHARMACY #3 |
| Practice Address |
209 E San Marnan Dr Waterloo IA 50702-5839 |
| Practice Telephone | 3192368891 |
| Practice Fax Number | 3192369665 |
| Mailing Telephone | 3192368891 |
| Mailing Fax Number | 3192369665 |
| Enumeration Date | 2009-09-02 |
| Last Update Date | 2013-03-19 |
| Authorized Official Name | BRIAN WEGMANN (CEO) |
| Authorized Official Telephone | 6413663440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
882 | IA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | BCBS | 1922231364 | 01 |
| Other Name | Type Code |
|---|---|
| NuCara Pharmacy #3 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265084792 | Nudak Ventures, LLC | Pharmacy | 5418 Saint Croix Trl, North Branch, MN 55056-4203 | 2019-07-15 |
| 1265863294 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 1113 Ansborough Ave, Waterloo, IA 50701-2248 | 2013-12-02 |
| 1194832626 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 118 Center St, Conrad, IA 50621-7822 | 2006-08-23 |
| 1124039763 | Nudak Ventures, LLC | Pharmacy | 621 Broad St, Story City, IA 50248-1200 | 2006-08-10 |
| 1063423614 | Nudak Ventures, LLC | Durable Medical Equipment & Medical Supplies | 6111 Burnet Rd, Austin, TX 78757-3226 | 2006-08-10 |
| 1497935878 | Nudak Ventures, LLC | Pharmacy | 101 W Vallette St, Ste 140, Elmhurst, IL 60126-4419 | 2007-11-14 |
| 1255364469 | Nudak Ventures, LLC | Pharmacy | 107 N Main St, Lenox, IA 50851-1237 | 2006-07-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | NUDAK VENTURES, LLC | Corp Trust Ctr, 1209 Orange St, Wilmington, DE 19801 |
| Washington State Corporations | NUDAK VENTURES, LLC | 126 N Main St, Conrad, IA 50621 |
| Street Address |
209 E SAN MARNAN DR |
| City | WATERLOO |
| State | IA |
| Zip Code | 50702-5839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033120670 | Nudak Ventures LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2006-08-10 |
| 1558855429 | Erin Chaplin | Pharmacist | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2018-06-14 |
| 1720358609 | Kelly Marie Dighton | Pharmacist | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2012-01-09 |
| 1972892743 | Dennis Kitzman | Pharmacist | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2011-04-01 |
| 1811226541 | Alisha Jean Eggers | Pharmacist | 209 E San Marnan Dr, Waterloo, IA 50702 | 2009-12-08 |
| 1871672170 | Joseph E Anderegg | Pharmacist | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629684709 | Peoples Community Health Clinic, Inc | Clinic/Center | 425 1/2 East Ridgeway Ave., Waterloo, IA 50702 | 2020-09-23 |
| 1346867439 | Kinza Ali | Family Medicine | 2055 Kimball Avenue, Suite 101, Waterloo, IA 50702 | 2020-07-06 |
| 1073176533 | Sandeep Badyal | Family Medicine | Ne Ia Family Medicine Residency Program, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-19 |
| 1619530763 | Sophia Tariq Qureshi | Family Medicine | Ne Ia Medical Education Foundation, 2055 Kimball Ave. Ste. 101, Waterloo, IA 50702 | 2019-04-15 |
| 1659869915 | Alicia M Johnson | Advanced Practice Midwife | 439 King Street, Waterloo, IA 50702 | 2018-04-23 |
| 1427591411 | Alexandra E. Becker | Specialist/Technologist | 4157 Mourning Dove Drive, Waterloo, IA 50702 | 2016-11-23 |
| 1255793196 | Eastern Iowa Therapeutics PC | Physical Therapist | 1655 E San Marnan Dr, Ste A, Waterloo, IA 50702 | 2016-03-21 |
| 1972859288 | Noble Cedar Psychological Institute | Psychologist | 1425 W. 5th Street, Suite 1, Waterloo, IA 50702 | 2012-07-24 |
| 1417223363 | Rita Marie Menart | Counselor | 2101 Kimball Ave., Suite 138, Waterloo, IA 50702 | 2012-03-26 |
| 1336411685 | Jagpal Singh Suman | Hospitalist | 3421 West 9th Street, Waterloo, IA 50702 | 2012-02-02 |
| Find all providers in zip 50702 | ||||
| Taxonomy Code | 3336H0001X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Home Infusion Therapy Pharmacy |
| Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
| Notes: Source: National Home Infusion Association [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316239460 | Rashid Pharmacy P L C | Pharmacy | 815 Office Park Rd Ste 1, West Des Moines, IA 50265-2502 | 2011-05-09 |
| 1669444659 | American Homepatient, Inc. | Pharmacy | 10540 Hickman Rd, Suite D, Des Moines, IA 50325-3711 | 2006-02-03 |
| 1801040720 | Bauder Pharmacy | Pharmacy | 3802 Ingersoll Ave, Des Moines, IA 50312-3413 | 2008-11-05 |
| 1407050727 | T Zenon Pharmaceuticals | Pharmacy | 230 Scott Ct, Iowa City, IA 52245-3997 | 2007-06-12 |
| 1053432278 | Keokuk Area Medical Equipment & Supply, Inc. | Pharmacy | 420 N 17th St, Keokuk, IA 52632-3452 | 2007-04-03 |
| 1053400960 | Unitypoint At Home | Pharmacy | 11333 Aurora Ave., Urbandale, IA 50322 | 2006-10-11 |
| 1235245051 | P B R Inc | Pharmacy | 141 S Central Ave, Hartley, IA 51346-1412 | 2006-08-22 |
| 1013942788 | Unitypoint At Home | Pharmacy | 11333 Aurora Ave, Urbandale, IA 50322-7908 | 2006-07-11 |
| 1912950239 | Mercy Home Infusion Pharmacy | Pharmacy | 1000 4th St Sw, Mason City, IA 50401 | 2006-05-18 |
| 1114981792 | Marian Health Center-smhc | Pharmacy | 801 5th St, Ste 2211, Sioux City, IA 51101-1394 | 2006-04-12 |
| 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.