NUDAK VENTURES, LLC (NPI# 1497935878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497935878 |
| Entity Type | Organization |
| Organization Name | NUDAK VENTURES, LLC |
| Other Organization Name | NUCARA PHARMACY COMPOUNDING |
| Practice Address |
101 W Vallette St Ste 140 Elmhurst IL 60126-4419 |
| Practice Telephone | 6308349768 |
| Practice Fax Number | 6308346643 |
| Mailing Telephone | 6308349768 |
| Mailing Fax Number | 6308346643 |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2016-03-29 |
| Authorized Official Name | LORI ANN WILLIS (ACQUISTIONS MANAGER) |
| Authorized Official Telephone | 6413663440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
054.018038 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2147106 | 01 |
| Other Name | Type Code |
|---|---|
| NuCara Pharmacy Compounding | 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 |
| 1922231364 | Nudak Ventures, LLC | Pharmacy | 209 E San Marnan Dr, Waterloo, IA 50702-5839 | 2009-09-02 |
| 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 |
101 W VALLETTE ST STE 140 |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-4419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417933003 | Donald Albert Meyer | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2005-12-16 |
| 1134475106 | Timothy Scott Hass | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2012-07-27 |
| 1396026746 | Amy Harriman | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2011-08-30 |
| 1588879167 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-05-14 |
| 1174743876 | Timothy Michael Richardson | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2007-04-26 |
| 1700941200 | Nudak Ventures LLC | Pharmacy | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-12-26 |
| 1629149778 | Gail A Cody | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-12 |
| 1861571044 | Dale Norman Foster | Pharmacist | 101 W Vallette St, Elmhurst, IL 60126-4419 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851936132 | Aafiyah Solutions Inc | Pharmacy | 1041 W Golf Rd, Hoffman Estates, IL 60169-1339 | 2019-11-11 |
| 1265805592 | Professional Pharmacy Inc | Pharmacy | 2069 Barrington Rd, Hoffman Estates, IL 60169-2086 | 2015-11-09 |
| 1861880833 | Al-machnee Inc | Pharmacy | 7953 S Cicero Ave, Chicago, IL 60652-2037 | 2014-12-29 |
| 1083002034 | Premier Family Pharmacy Inc | Pharmacy | 5600 W 87th St Ste B, Burbank, IL 60459-2902 | 2014-12-29 |
| 1699189134 | Custom Care Pharmacy LLC | Pharmacy | 7007 North Ave, Oak Park, IL 60302-1001 | 2014-06-12 |
| 1588082127 | Bolingbrook Compounding Pharmacy | Pharmacy | 402 W Boughton Rd Ste C, Bolingbrook, IL 60440-1985 | 2014-04-01 |
| 1588906507 | Pill Shop Pharmacy Inc | Pharmacy | 3535 E New York St Ste 117, Aurora, IL 60504-4466 | 2013-03-18 |
| 1285970574 | Northern Rx LLC | Pharmacy | 2012 E. Nw Hwy., Arlington Heights, IL 60004 | 2012-12-14 |
| 1376802462 | Rock Valley Compounding Pharmacy LLC | Pharmacy | 811 S Perryville Rd Unit 109, Rockford, IL 61108-4323 | 2012-05-09 |
| 1306102728 | Propharm Rx Inc | Pharmacy | 115 S Macoupin St, Gillespie, IL 62033-1516 | 2012-04-10 |
| Find all providers with the same taxonomy | ||||
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| 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.