Nickolas Lund, PHARMD
Individual provider Active NPI Pharmacist · Nevada, IA
NPI 1992345623 · NPPES record last updated Jan 10, 2020
Key facts
- NPI
- 1992345623
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 22264 (IA)
- Practice address
- 1002 6TH St
Nevada, IA 50201-1826 - Phone
- (515) 382-2485
- NPI assigned
- Jan 10, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22264 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nudak Ventures LLC | Past | Accepting new patients | |
| Nudak Ventures LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 22264 | IA | Yes |
Addresses
Primary practice location
1002 6TH St
Nevada, IA 50201-1826
Mailing address
1002 6TH St
Nevada, IA 50201-1826
Phone (515) 382-2485
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nlund@nucara.com |
Other providers in Nevada, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 10, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.