{"npi":"1124039763","type":"NPI-2","status":"active","name":{"display":"Nudak Ventures, LLC","other":[],"organization_name":"NUDAK VENTURES, LLC","authorised_official":"Lori Willis"},"specialty":{"primary_taxonomy":"3336C0003X","primary_taxonomy_description":"Community/Retail Pharmacy","slug":"community-retail-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":null,"license":null},{"code":"3336C0003X","description":"Community/Retail Pharmacy","primary":true,"state":"IA","license":"78"}]},"addresses":[{"purpose":"LOCATION","street_1":"621 BROAD ST","city":"STORY CITY","state":"IA","postal_code":"502481200","country_code":"US","phone":"5157332233","fax":"5157332366"},{"purpose":"MAILING","street_1":"PO BOX 640","city":"CONRAD","state":"IA","postal_code":"506210640","country_code":"US","phone":"5157332233","fax":"5157332366"}],"license":{"state":"IA","number":"78"},"identifiers":[{"type_code":"01","label":"Other","value":"1609847","state":null,"issuer":"NCPDP PROVIDER IDENTIFICATION NUMBER"},{"type_code":"05","label":"Medicaid","value":"0181230","state":"IA","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2006-08-10","last_updated":"2026-06-15","_meta":{"source":"NPPES","snapshot_date":"2026-06-15","doc_url":"https://findmynpi.com/api"}}