Nudak Ventures LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

264296 Issued in MN

Legal business name

NUDAK VENTURES LLC

Doing business as

NuCara Pharmacy #38

Practice address

1106 Hobart Street
Hawley, MN 56549-0626

Phone

(218) 486-4663

Fax

(218) 486-5327

NPI assigned

Jan 3, 2014

Last updated

Jun 15, 2026By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lori Willis

Title

Acquisitions Manager

Phone

(515) 280-2927

Specialties & licenses 1

Addresses

Other names 1

• NuCara Pharmacy #38 Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

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

• Jerry's Enterprises, Inc

  dba Jerry's Pharmacy

  • Community/Retail Pharmacy
  • North Branch, MN
  • NPI 1265084792

  O20131106000139

  Same enrollment
• Nudak Ventures LLC

  dba NuCara Pharmacy #23

  • Community/Retail Pharmacy
  • Paynesville, MN
  • NPI 1639251424

  O20131106000139

  Same enrollment
• Nudak Ventures LLC

  dba NuCara Pharmacy #37

  • Community/Retail Pharmacy
  • Montezuma, IA
  • NPI 1447778253

  O20131106000139

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781481600000",
    "number": "1689095952",
    "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": "1106 HOBART STREET",
            "city": "HAWLEY",
            "state": "MN",
            "postal_code": "565490626",
            "telephone_number": "218-486-4663",
            "fax_number": "218-486-5327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDAK VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "ACQUISITIONS MANAGER",
        "authorized_official_telephone_number": "515-280-2927"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "264296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuCara Pharmacy #38",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NuCara Pharmacy #38",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mental Health Matters Psychiatry PLLC
• Jacky Eileen Mergner, OTRL
• Emily Ann Miller, D.M.D.
• Mobilityplus Rehabilitation, LTD
• Sheila Marie Nelson
• Katlyn Olson, PT, DPT
• Neha Patel, DDS
• Devon Pekas, MD, MS
• Nicole M. Perman, CCC-SLP
• Nicole Jean Reardon, D.D.S.

• Community/Retail Pharmacy in Hawley, MN
• Providers in Hawley, MN by specialty
• Community/Retail Pharmacy in Minnesota

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.