GOOD GRACES, LLC (NPI# 1265033534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265033534 |
| Entity Type | Organization |
| Organization Name | GOOD GRACES, LLC |
| Other Organization Name | GOOD GRACES PHARMACY |
| Practice Address |
857 E Main Street Ste 3 - 5 Willow Springs MO 65793 |
| Mailing Address |
708 Ash St Willow Springs MO 65793-3445 |
| Practice Telephone | 4178550428 |
| Mailing Telephone | 4178550428 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-04 |
| Authorized Official Name | BRANDON K GREGORY (PRESIDENT, OWNER) |
| Authorized Official Telephone | 4178550428 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE BOARD OF PHARMACY PERMIT | 2020037376 | 01 |
| MO | STATE BUREAU OF NARCOTICS AND DANGEROUS DRUGS | 2500065241 | 01 |
| Other Name | Type Code |
|---|---|
| Good Graces Pharmacy | Doing Business As Name - Organization |
| Street Address |
857 E MAIN STREET STE 3 - 5 |
| City | WILLOW SPRINGS |
| State | MO |
| Zip Code | 65793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427526565 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-11-07 |
| 1124514476 | Ozarks Medical Center | Clinic/Center | 201 West High Street, Suite 2, Willow Springs, MO 65793 | 2018-07-10 |
| 1023439403 | Lori Pendergrass | Occupational Therapy Assistant | 910 Springfield Rd, Willow Springs, MO 65793 | 2014-01-02 |
| 1912151960 | Matthew Eugene Mansfield | Dentist | 2729 State Route 76 West, Willow Springs, MO 65793 | 2008-11-04 |
| 1407950520 | Lester E Cox Medical Centers | Family Medicine | 816 E Main, Willow Springs, MO 65793 | 2006-09-11 |
| 1972771657 | Mercy Clinic Springfield Communities | Family Medicine | 1202 E Main St, Willow Springs, MO 65793 | 2008-02-14 |
| 1366443913 | Willow Health Care Inc | Home Health | 2642 State Route 76, Willow Springs, MO 65793-0000 | 2005-08-04 |
| 1598742777 | Alexander Mark Prorok | Counselor | 3670 County Road 4990, Willow Springs, MO 65793-0506 | 2005-12-28 |
| 1548341019 | Laura Louise Curtis | Counselor | 2695 Sr U, Willow Springs, MO 65793-0631 | 2006-10-18 |
| 1629125000 | Aldyth R Huston | Occupational Therapist | 215 W 4th St, Willow Springs, MO 65793-1118 | 2007-01-05 |
| Find all providers in zip 65793 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1376141143 | Phillips Pharmacy, LLC | Pharmacy | 7278 State Highway 14 E, Sparta, MO 65753-9345 | 2020-10-14 |
| 1013527761 | Rpcs, Inc. | Pharmacy | 18128 State Hwy 13, Branson West, MO 65737 | 2020-08-07 |
| 1205446184 | Rpcs, Inc. | Pharmacy | 200 Southtowne Blvd, Hollister, MO 65672-9610 | 2020-08-05 |
| 1912517897 | Rpcs, Inc. | Pharmacy | 1447 State Highway 248 Ste J, Branson, MO 65616-8161 | 2020-08-05 |
| 1245849801 | Rpcs Inc | Pharmacy | 163 W Old Mill Rd, Fair Grove, MO 65648-7918 | 2020-07-29 |
| 1760005219 | Meta Pharmacy Solutions | Pharmacy | 108 Triad Ctr W, O Fallon, MO 63366-7541 | 2020-05-19 |
| 1437778172 | Harps Food Stores, Inc | Pharmacy | 707 Specialty Dr, Dexter, MO 63841-2718 | 2020-04-13 |
| 1013540038 | Auburn Pharmacy Inc | Pharmacy | 810 W 35th St Ste 101, Higginsville, MO 64037-1865 | 2020-02-18 |
| 1801428495 | Scpg Missouri LLC | Pharmacy | 501 South Madison Ave, Suite S, Webb City, MO 64870 | 2020-02-11 |
| Find all providers with the same taxonomy | ||||
| City | WILLOW SPRINGS |
| Zip Code | 65793 |
Please comment or provide details below to improve the information on GOOD GRACES, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.