Healthcare Provider Details

I. General information

NPI: 1497097968
Provider Name (Legal Business Name): NERXD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2013
Last Update Date: 09/19/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9511 HUFFMEISTER RD STE 104
HOUSTON TX
77095-2892
US

IV. Provider business mailing address

9511 HUFFMEISTER RD STE 104
HOUSTON TX
77095-2892
US

V. Phone/Fax

Practice location:
  • Phone: 832-617-0290
  • Fax: 832-510-4003
Mailing address:
  • Phone: 832-617-0290
  • Fax: 832-510-4003

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number054.019556
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberNR-51082
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPHNR.FO.60553550
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number9257855-1708
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number28476
License Number StateTX
# 6
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License NumberPH29324
License Number StateFL
# 7
Primary TaxonomyN
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License NumberPHNR000802
License Number StateGA
# 8
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberY006480
License Number StateAZ

VIII. Authorized Official

Name: NICHOLAS DAVIS
Title or Position: OWNER, RPH
Credential: PHARMD
Phone: 832-617-0290