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DIVINE GRACE PHARMACY LLC
NPI 1164086245
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Diana, TX

Active since April 24, 2019
1970 US HIGHWAY 259 S # 100, DIANA, TX 75640(430) 625-2600(430) 625-2600 Get Directions Write a Review

NPPES record last updated: April 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Divine Grace Pharmacy Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIVINE GRACE PHARMACY LLC (NPI 1164086245), doing business as Divine Grace Pharmacy, is a healthcare organization registered as a pharmacist clinician (phc)/ clinical pharmacy specialist in Diana, Texas and active in the NPI registry since April 2019. The organization lists Grace T Gbadamosi, Owner/pharmacist, as its authorized official.

NPPES Registry Identity

NPI1164086245
Entity TypeOrganization
Primary Taxonomy1835P0018X
Legal Business NameDIVINE GRACE PHARMACY LLC
Location Address1970 US HIGHWAY 259 S # 100Diana, TX 75640-4037
Mailing Address2058 Rosebury LnForney, TX 75126-0917 · (903) 445-7306
Phone(430) 625-2600
Fax(430) 625-2600
Organization SubpartNo
Authorized OfficialGrace T GbadamosiOwner/pharmacist · (430) 630-2600
Enumeration DateApril 24, 2019
✔ NPI 1164086245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
1970 US HIGHWAY 259 S # 100, Diana, TX 75640
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Other Names 1

Doing Business AsDivine Grace Pharmacy

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRACE TITILOLA GBADAMOSI RPH
Pharmacist
1970 US HIGHWAY 259 S # 100
DIANA, TX 75640
Upshur County (430) 625-2600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Divine Grace Pharmacy LLC's NPI number?

The NPI number for Divine Grace Pharmacy LLC is 1164086245. It was assigned to this organization in the NPPES registry on April 24, 2019. The provider is doing business as Divine Grace Pharmacy.

Where is Divine Grace Pharmacy LLC located?

Divine Grace Pharmacy LLC is located at 1970 Us Highway 259 S # 100, Diana, TX 75640. The listed phone number is (430) 625-2600.

What is Divine Grace Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

What insurance does Divine Grace Pharmacy LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Divine Grace Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Divine Grace Pharmacy LLC was last updated on April 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.