NUDAK VENTURES LLC


Address: 108 Main St W, State Center, IA 50247-7769
Phone: 6414832975

NUDAK VENTURES LLC (NPI# 1942605290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942605290
Entity Type Organization
Organization Name NUDAK VENTURES LLC
Other Organization Name NUCARA PHARMACY #33
Practice Address 108 Main St W
State Center
IA 50247-7769
Mailing Address Po Box 640
Conrad
IA 50621-0640
Practice Telephone 6414832975
Practice Fax Number 6414832977
Mailing Telephone 6413663440
Mailing Fax Number 6413663442
Enumeration Date 2014-10-29
Last Update Date 2017-04-24
Authorized Official Name LORI WILLIS (ACQUISITIONS MANAGER)
Authorized Official Telephone 6413663440
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
1532 IA Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
IA 0406951 05
PK 2149355 01

Other Provider/Organization Names

Other Name Type Code
NuCara Pharmacy #33 Doing Business As Name - Organization

Other Provider IDs and Locations

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
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
1700987435 Nudak Ventures LLC Pharmacy 209 E San Marnan Dr Ste 100, Waterloo, IA 50702-5839 2006-09-26

Office Location

Street Address 108 MAIN ST W
City STATE CENTER
State IA
Zip Code 50247-7769

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851834956 West Marshall Community School District Local Education Agency (LEA) 601 3rd St Nw, State Center, IA 50247-1011 2016-11-22
1902879018 Care Initiatives Skilled Nursing Facility 702 3rd St Nw, State Center, IA 50247-1012 2006-02-09
1902896954 Ronald C. Terrill Internal Medicine 503 3rd Ave Sw, State Center, IA 50247-7719 2005-10-21
1407381031 Unitypoint Health - Marshalltown Clinic/Center 503 3rd Ave Sw, State Center, IA 50247-7719 2017-04-20
1639441835 Amanda Michelle Konz Nurse Practitioner 503 3rd Ave Sw, State Center, IA 50247-7719 2012-02-02
1831343656 Central Iowa Healthcare Clinic/Center 503 3rd Ave Sw, State Center, IA 50247-7719 2008-11-06
1891771663 Mmsc Ventures Inc Clinic/Center 503 3rd Ave Sw, State Center, IA 50247-7719 2005-12-22
1669959029 Town of State Center Ambulance 115 E Main, State Center, IA 50247-7765 2018-07-27
1992313654 Central Iowa Physio, LLC Clinic/Center 130 Main St W, State Center, IA 50247-7769 2020-07-20
1346571254 Brandi L Sparks Chiropractor 114 Main St W, State Center, IA 50247-7777 2010-01-18
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City STATE CENTER
Zip Code 50247

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Dataset Information

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.

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