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NUDAK VENTURES LLC NPI 1164516027


NPI Information

NPI: 1164516027
Provider Name: NUDAK VENTURES, LLC

Doing Business As: NUCARA PHARMACY #44

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 16D2260918

Address:
621 G AVE
GRUNDY CENTER, IA
ZIP 50638
Phone: (319) 824-5446
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NUDAK VENTURES, LLC is a community/retail pharmacy pharmacy in Grundy Center, IA. The provider is 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. NUDAK VENTURES, LLC NPI is 1164516027. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Nucara Pharmacy #44.

The provider's business location address is:

621 G AVE
GRUNDY CENTER, IA
ZIP 50638-549
Phone: (319) 824-5446
Fax: (319) 824-5874

The provider's authorized official is Lori 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 16D2260918 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 6/9/2022.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1183500000XPharmacist834IOWANo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
33336L0003XPharmacyLong Term Care PharmacyNo
43336C0003XPharmacyCommunity/Retail 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10133140MEDICAIDIOWA

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: 5/5/2024

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