NUDAK VENTURES, LLC (NPI# 1265084792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265084792 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES, LLC |
| Practice Address |
5418 Saint Croix Trl North Branch MN 55056-4203 |
| Mailing Address |
Po Box 640 Conrad IA 50621-0640 |
| Practice Telephone | 6512435325 |
| Practice Fax Number | 6512435324 |
| Mailing Telephone | 6413663440 |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | LORI WILLIS (ACQUISITIONS MANAGER) |
| Authorized Official Telephone | 6413663440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| NuCara Pharmacy #41 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1922231364 | Nudak Ventures, LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2009-09-02 |
| 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 |
5418 SAINT CROIX TRL |
| City | NORTH BRANCH |
| State | MN |
| Zip Code | 55056-4203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217146 | Joy Solano | Counselor | 38873 14th Ave North, North Branch, MN 55056 | 2015-10-19 |
| 1285072637 | Teresa Ann Dewitt | Registered Nurse | 9208 St Croix Trail, North Branch, MN 55056 | 2013-06-07 |
| 1396074209 | Twin Cities Mobile Chiropractic, P.C. | Clinic/Center | 6754 380th Circle, North Branch, MN 55056 | 2009-12-24 |
| 1811157662 | Shopko Stores Operating Co LLC | Pharmacy | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-16 |
| 1023171196 | Shawn Timothy Mccullough | Dentist | 6041 Main Street, Suite C, North Branch, MN 55056 | 2006-12-19 |
| 1518050103 | Paula J Rehder | Family Medicine | 6413 Oak Street, North Branch, MN 55056 | 2006-10-02 |
| 1699711614 | Julie A Perreault | Chiropractor | 6361 Main St, No Branch, MN 55056 | 2006-06-20 |
| 1760950307 | Kara H Mireles | Marriage & Family Therapist | 5842 Old Main St, Ste 2,3,4, North Branch, MN 55056 | 2018-11-12 |
| 1134614506 | Jenna Marie Leirmoe | Counselor | 38878 12th Ave, North Branch, MN 55056 | 2018-06-27 |
| 1689835647 | Shopko Stores Operating Co LLC | Eyewear Supplier (Equipment, not the service) | 5630 St Croix Trail, North Branch, MN 55056 | 2008-06-23 |
| Find all providers in zip 55056 | ||||
| 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 |
|---|---|---|---|---|
| 1710030978 | Skelton Drug Inc | Pharmacy | 6344 Main St, North Branch, MN 55056-6693 | 2007-01-19 |
| 1891806394 | Advanced Pharmacy & Nutrition Center | Pharmacy | 3960 Huron St, North Branch, MI 48461-6122 | 2006-08-31 |
| 1841502705 | Ehardt's Pharmacy Inc. | Pharmacy | 6002 N Lapeer Rd, North Branch, MI 48461-8150 | 2010-07-08 |
| 1982751038 | Ehardts Pharmacy Inc | Pharmacy | 3960 Huron St, North Branch, MI 48461-8149 | 2007-01-04 |
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|---|---|---|---|---|
| 1497368633 | Sawtooth Mountain Clinic, Inc. | Pharmacy | 513 5th Ave W Rm 201, Grand Marais, MN 55604-3017 | 2020-08-27 |
| 1891313326 | Rochester Community Pharmacy LLC | Pharmacy | 1604 1st St Nw, Rochester, MN 55901-0318 | 2020-07-10 |
| 1134745730 | Elko New Market Family Pharmacy, LLC | Pharmacy | 117 Old Town Road, Elko New Market, MN 55054 | 2020-06-19 |
| 1578187456 | Coborns Inc | Pharmacy | 15700 88th St Ne, Otsego, MN 55330 | 2020-06-05 |
| 1205460169 | Genoa Healthcare, LLC | Pharmacy | 1515 Energy Park Dr Ste 110, Saint Paul, MN 55108-5229 | 2020-02-28 |
| 1801438361 | The Duluth Clinic, Ltd. | Pharmacy | 2 Division St Ste A, Deer River, MN 56636-8779 | 2019-10-16 |
| 1659938116 | Sterlingrx Inc | Pharmacy | 1312 Northland Dr Ste 500, Mendota Heights, MN 55120-1436 | 2019-05-21 |
| 1639734346 | Seward Pharmacy LLC | Pharmacy | 2209 E Lake St, Minneapolis, MN 55407-4563 | 2019-05-08 |
| 1093370694 | Minnesota Ave N Pharmacy Services Limited | Pharmacy | 226 Minnesota Ave N, Aitkin, MN 56431-1412 | 2019-05-08 |
| 1487117792 | Costco Wholesale Corporation | Pharmacy | 3636 2nd St S, Saint Cloud, MN 56301-3732 | 2019-04-12 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BRANCH |
| Zip Code | 55056 |
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.