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NUDAK VENTURES LLC NPI 1063423614


NPI Information

NPI: 1063423614
Provider Name: NUDAK VENTURES, LLC

Doing Business As: NUCARA PHARMACY #17

Classification: Pharmacy - 3336H0001X
Entity Type: Organization

Specialization: Home Infusion Therapy Pharmacy

CLIA Number: 45D2068344

Address:
6111 BURNET RD
AUSTIN, TX
ZIP 78757
Phone: (512) 454-9923
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NUDAK VENTURES, LLC is a home infusion therapy pharmacy pharmacy in Austin, TX. The provider is 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. NUDAK VENTURES, LLC NPI is 1063423614. The provider is registered as an organization entity type.
The provider Is Doing Business As Nucara Pharmacy #17.

The provider's business location address is:

6111 BURNET RD
AUSTIN, TX
ZIP 78757-226
Phone: (512) 454-9923
Fax: (512) 454-9866

The provider's authorized official is Lori Ann Willis .
The authorized official title is Acquisitions Manager and has the following contact phone number (641) 366-3440.

The CLIA number assigned to this NPI record is 45D2068344 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 3/24/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical Supplies28221TEXASNo
2332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
3333600000XPharmacyNo
43336H0001XPharmacyHome Infusion Therapy PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12141583OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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