NPIMap

Organization Active NPI

Nudak Ventures LLC

  • Community/Retail Pharmacy
  • Pleasant Hill, IA
National Provider Identifier
1124039631
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
1436 Issued in IA
Legal business name
NUDAK VENTURES LLC
Practice address
4927 Maple Dr
Ste. 100
Pleasant Hill, IA 50327-2030
Phone
(515) 264-1503
Fax
(515) 265-6124
NPI assigned
Aug 10, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Lori Ann Willis
Title
Director of Receivables
Phone
(515) 280-2927

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 8

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Nucara Pharmacy #274927 Maple Dr, Pleasant Hill, IA 50327-2030(515) 264-1503 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manual Related Accessories)|Wheelchair Seating/Cushi… Does not accept assignmentParticipating since Jan 1, 2021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA3 enrollments

Medicare enrollment records 3

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20130227000280 IA DME Supplier - Medical Supply Company With Registered PharmacistDME Supplier - Oxygen & EquipmentDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Pharmacy 5395907141 Practice locations: Pleasant Hill, IA
O20131111001001 IA Part B Supplier - Mass Immunization (Roster Biller Only) 5395907141 23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Conrad, IA; Ackley, IA; Zearing, IA; West Union, IA; Waterloo, IA; Traer, IA; Story City, IA; Pleasant Hill, IA…
O20220419002811 IA Part B Supplier - Independent Clinical Laboratory 5395907141 16 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Zearing, IA; West Union, IA; Waterloo, IA; Traer, IA; Story City, IA; Pleasant Hill, IA; Ottumwa, IA; Nevada, IA…

National Provider Directory

National Provider Directory
Tax ID family
Nudak Ventures LLC (9 organizations share this tax ID)

Locations

4927 Maple Dr
Pleasant Hill, IA 50327
Phone (515) 264-1503

Specialties & licenses 5

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 1436 IA Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

NPPES NPI Registry

Primary practice location

4927 Maple Dr
Ste. 100
Pleasant Hill, IA 50327-2030

Mailing address

PO Box 640
Conrad, IA 50621-0640
Phone (641) 366-3440

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
2137747OtherPK
0403978MedicaidIA

Other names 1

NPPES NPI Registry
  • NuCara Pharmacy #27 Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 15, 2026.

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1124039631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "CONRAD",
            "state": "IA",
            "postal_code": "506210640",
            "telephone_number": "641-366-3440",
            "fax_number": "641-366-3442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 MAPLE DR",
            "address_2": "STE. 100",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503272030",
            "telephone_number": "515-264-1503",
            "fax_number": "515-265-6124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDAK VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LORI ANN",
        "authorized_official_title_or_position": "DIRECTOR OF RECEIVABLES",
        "authorized_official_telephone_number": "515-280-2927"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IA",
            "license": "1436",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137747",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0403978",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuCara Pharmacy #27",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant Hill, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.