Nudak Ventures LLC
Nudak Ventures LLC is a healthcare organization registered as Community/Retail Pharmacy in Waterloo, IA, holding Type 2 (organization) NPI 1033120670 since 2006. The authorized official on file is Lori Ann Willis, Acquisitions Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1033120670 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Nudak Ventures LLC |
| Other name | <Unavail> |
| Practice address | 209 E SAN MARNAN DR, Waterloo, IA, 50702 |
| Phone | 3192368891 |
| Fax | 3192369665 |
| Enumeration date | 2006-08-10 |
| Last updated in NPPES | 2025-07-09 |
Authorized official
| Name | Lori Ann Willis |
|---|---|
| Title | Acquisitions Manager |
| Phone | 6413663440 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 251F00000X | Home Infusion Agency | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 332BC3200X | Customized Equipment (DME) | Secondary | — | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | Secondary | — | — |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | Secondary | — | — |
| 333600000X | Pharmacy | Secondary | — | — |
| 3336H0001X | Home Infusion Therapy Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | 882 | IA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1615016 | Other | — | NCPDP PROVIDER IDENTIFICATION NUMBER |
Copy-ready billing details
Provider: Nudak Ventures LLC NPI: 1033120670 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 209 E SAN MARNAN DR, Waterloo, IA, 50702
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1871672170 | Joseph Anderegg | Individual | Pharmacist | Waterloo, IA |
| 1922231364 | Nudak Ventures, LLC | Organization | Home Infusion Therapy Pharmacy | Waterloo, IA |
| 1811226541 | Alisha Eggers | Individual | Pharmacist | Waterloo, IA |
| 1972892743 | Dennis Kitzman | Individual | Pharmacist | Waterloo, IA |
| 1902575152 | Julie Stahl | Individual | Pharmacist | Waterloo, IA |
| 1417601576 | Shannon Thoma | Individual | Nurse Practitioner | Waterloo, IA |
| 1164363743 | Grx Holdings LLC | Organization | Compounding Pharmacy | Waterloo, IA |
Verify this record
Cross-check NPI 1033120670 against the authoritative CMS record: view Nudak Ventures LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Nudak Ventures LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-09.