Good Graces LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GOOD GRACES LLC

Practice address

857 E Main St Ste 3
Willow Springs, MO 65793-1500

Phone

(417) 855-1085

Fax

(417) 855-1086

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Brandon Gregory, PHARMDNPI 1508113705

Title

Owner, President

Phone

(417) 855-1085

Specialties & licenses 4

Addresses

Other identifiers 3

Other names 1

• Good Graces Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in MO2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Brandon Gregory, PHARMD

  • Pharmacist
  • Willow Springs, MO
  • NPI 1508113705
  NPD Authorized official
• Bobbi Sue Gregory, CHW-C, CPHT

  • Community Health Worker
  • Willow Springs, MO
  • NPI 1548009269
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766534400000",
    "number": "1265033534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931500",
            "telephone_number": "417-855-1085",
            "fax_number": "417-855-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 E MAIN ST STE 3",
            "city": "WILLOW SPRINGS",
            "state": "MO",
            "postal_code": "657931500",
            "telephone_number": "417-855-1085",
            "fax_number": "417-855-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD GRACES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2025-12-24",
        "certification_date": "2025-12-24",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "417-855-1085",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "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": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600092646",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BUREAU OF NARCOTICS AND DANGEROUS DRUGS",
            "identifier": "2500065241",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY PERMIT",
            "identifier": "2020037376",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Graces Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Good Graces Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Naomi G. Dyck, FNP
• Brooke L. Fair, FNP
• Ferguson Drug
• Thomas Charles Gardner, APN
• Good Graces
• Bobbi Sue Gregory, CHW-C, CPHT
• Brandon Gregory, PHARMD
• Cody Jack Gregory, PHARMACY TECH
• Kehnemund Gregory
• Mary Howell, MS

• Community/Retail Pharmacy in Willow Springs, MO
• Providers in Willow Springs, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 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.