Grace Pharmacy Solutions LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

GRACE PHARMACY SOLUTIONS LLC

Doing business as

Grace Community Pharmacy

Practice address

80 Pinnacles Dr Ste 900
Palm Coast, FL 32164-2915

Phone

(386) 263-7370

Fax

(386) 263-7270

NPI assigned

Nov 4, 2019

Organization subpart

No

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

Authorized official

Name

Miss Grace Ann Pinili Benet

Title

Pharmacist, Owner

Phone

(386) 237-1821

Specialties & licenses 3

Addresses

Other names 1

• Grace Community Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1366086126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 RYARBOR DR",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321643417",
            "telephone_number": "386-263-7370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PINNACLES DR STE 900",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321642915",
            "telephone_number": "386-263-7370",
            "fax_number": "386-263-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE PHARMACY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "BENET",
        "authorized_official_first_name": "GRACE ANN",
        "authorized_official_middle_name": "PINILI",
        "authorized_official_title_or_position": "PHARMACIST, OWNER",
        "authorized_official_telephone_number": "386-237-1821",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Community Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Gordon
• Brian Stephen Gorski, PTA
• Heather Gould, COTA
• Michelle Gould
• Grace Behavioral Services, LLC
• Grace Pharmacy Solutions LLC
• Donovan Eljamah Graham
• Annissa Natonnia Gray
• Lindsay Marie Gray, APRN
• Anngela Green

• Community/Retail Pharmacy in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.