Organization Active NPI

Nubia Apothecary RX LLC

Doing business as The Apothecary

  • Community/Retail Pharmacy
  • Stafford, TX
National Provider Identifier
1851954796
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
NUBIA APOTHECARY RX LLC
Doing business as
The Apothecary
Practice address
435 FM 1092 Rd Ste N
Stafford, TX 77477-5420
Phone
(832) 889-7872
NPI assigned
Apr 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Authorized official

Name
Dr. Damonica L Gorrell, PHARMDNPI 1568886216
Title
Pharmacist in Charge
Phone
(832) 889-7872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Compounding Pharmacy 3336C0004X
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

435 FM 1092 Rd Ste N
Stafford, TX 77477-5420

Mailing address

435 FM 1092 Rd Ste N
Stafford, TX 77477-5420
Phone (281) 208-7218

Other identifiers 1

IdentifierTypeStateIssuer
150119MedicaidTX

Other names 1

  • The Apothecary Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210924000712 TX Part B Supplier - Independent Clinical Laboratory 9133541378 Practice locations: Stafford, TX

National Provider Directory

National Provider Directory

Locations

435 FM 1092 Rd
Ste N
Stafford, TX 77477
Phone (281) 208-7218

435 Murphy Rd
Ste F1
Stafford, TX 77477
Phone (281) 208-7218

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752105600000",
    "number": "1851954796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FM 1092 RD STE N",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775420",
            "telephone_number": "281-208-7218",
            "fax_number": "281-208-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FM 1092 RD STE N",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775420",
            "telephone_number": "832-889-7872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUBIA APOTHECARY RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A",
        "authorized_official_last_name": "GORRELL",
        "authorized_official_first_name": "DAMONICA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "832-889-7872",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Apothecary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stafford, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; 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.