Nudak Ventures LLC
Organization Active NPI Community/Retail Pharmacy · Montezuma, IA
NPI 1447778253 · NPPES record last updated Jun 15, 2026
Key facts
- NPI
- 1447778253
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- NUDAK VENTURES LLC
- Practice address
- 323 E Main Street
Montezuma, IA 50171 - Phone
- (641) 623-0099
- Fax
- (641) 623-0092
- NPI assigned
- Aug 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Lori Willis
- Title
- Acquisitions Manager
- Phone
- (515) 280-2927
Other NPIs on the same Medicare enrollment 19
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in MN, IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20131106000139 | MN | Part B Supplier - Pharmacy | 5395907141 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Hawley, MN; Paynesville, MN |
| 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
323 E Main Street
Montezuma, IA 50171
Mailing address
PO Box 640
Conrad, IA 50621-0640
Phone (641) 366-3440
Other names
- NuCara Pharmacy #37
Other providers in Montezuma, IA
- Heartland Pediatric Feeding Disorders Services
- Melinda Sue McNaul
- Monte Pharmacies LLC
- Montezuma Community School District
- Montezuma Smiles
- James B Paulson
- Remedy Drug Inc
- Brittany Lee Rempp
All providers in Montezuma, IA · Community/Retail Pharmacy in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.