Active NPI
Nicholas Dahlke, PHARMD
- Pharmacist
- Nevada, IA
National Provider Identifier
1023509262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 22034
- Practice address
- 1002 6TH St
Nevada, IA 50201-1826 - Phone
- (515) 382-2485
- Fax
- (515) 382-3473
- NPI assigned
- May 23, 2018
- Last updated
- May 23, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22034 | IA | Primary |
Addresses
Primary practice location
1002 6TH St
Nevada, IA 50201-1826
Mailing address
1002 6TH St
Nevada, IA 50201-1826
Phone (515) 382-2485
Other practice location 1
110 W Main St
Zearing, IA 50278-7728
Phone (641) 487-7450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22034 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nudak Ventures LLC | Past | Accepting new patients | |
| Nudak Ventures LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NuCara Specialty Pharmacy
- Specialty Pharmacy
- Pleasant Hill, IA
- NPI 1366508376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1023509262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 6TH ST",
"city": "NEVADA",
"state": "IA",
"postal_code": "502011826",
"telephone_number": "515-382-2485",
"fax_number": "515-382-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 6TH ST",
"city": "NEVADA",
"state": "IA",
"postal_code": "502011826",
"telephone_number": "515-382-2485",
"fax_number": "515-382-3473"
}
],
"practiceLocations": [
{
"address_1": "110 W Main St",
"address_purpose": "LOCATION",
"city": "Zearing",
"state": "IA",
"postal_code": "502787728",
"country_code": "US",
"telephone_number": "641-487-7450",
"fax_number": "641-487-7452",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAHLKE",
"first_name": "NICHOLAS",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-23",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IA",
"license": "22034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada, IA
- Michelle Case
- Arthur P Check, DO
- Kelly L Check, DPM
- City of Nevada Iowa
- Connect Chiropractic LLC
- Developmental Resources, Inc. (Krysilis, Inc.-Nevada 3)
- Developmental Resources, Inc. (Krysilis, Inc.-Nevada 2)
- Developmental Resources, Inc. (Krysilis, Inc.-Nevada 4)
- Developmental Resources, Inc. (Krysilis, Inc.-Nevada 1)
- Lauren Devereaux, OTR/L
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.