NPI Database
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Contact Information

NUBIA APOTHECARY RX LLC
435 FM 1092 RD STE N
STAFFORD, TX77477-5420
 Phone: 832-889-7872
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Compounding Pharmacy

3336C0004X 58 Medical Supply Company with Pharmacist
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Long Term Care Pharmacy

3336L0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for NUBIA APOTHECARY RX LLC

NPI # 1851954796
LBN Legal business name NUBIA APOTHECARY RX LLC
Authorized official DAMONICA GORRELL - (PHARMACIST IN CHARGE)
Entity Organization
Organization subpart 1 No
Enumeration date 04/16/2019
Last updated 07/10/2025 - About 11 months ago
Identifiers
TX Medicaid 150119
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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