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GRACIOUS HEALTH MART LLC
NPI 1245895929
Pharmacy - Long Term Care Pharmacy in Jacksonville, FL

Active since May 07, 2019
4237 SALISBURY RD BLDG 3, JACKSONVILLE, FL 32216(904) 683-4298 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 7, 2023, May 4, 2023, Jan 4, 2022 and 1 more (4 updates tracked since 2019).

About Gracious Health Mart Llc NPPES

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

GRACIOUS HEALTH MART LLC (NPI 1245895929), doing business as Mass Pharmacy, is a healthcare organization registered as a long term care pharmacy in Jacksonville, Florida and active in the NPI registry since May 2019. The organization lists Krystal Mims, Owner, as its authorized official.

NPPES Registry Identity

NPI1245895929
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameGRACIOUS HEALTH MART LLC
Location Address4237 SALISBURY RD BLDG 3Jacksonville, FL 32216-8029
Mailing Address3480 Eastern BlvdMontgomery, AL 36116-1700 · (334) 819-4500
Phone(904) 683-4298
Organization SubpartNo
Authorized OfficialKrystal MimsOwner · (334) 819-4500
Enumeration DateMay 7, 2019
Last NPPES UpdateFebruary 19, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1245895929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
4237 SALISBURY RD BLDG 3, Jacksonville, FL 32216
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Other Names 1

Doing Business AsMass Pharmacy

Other Identifiers 1

Medicaid113393600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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 Gracious Health Mart LLC's NPI number?

The NPI number for Gracious Health Mart LLC is 1245895929. It was assigned to this organization in the NPPES registry on May 7, 2019. The provider is doing business as Mass Pharmacy.

Where is Gracious Health Mart LLC located?

Gracious Health Mart LLC is located at 4237 Salisbury Rd Bldg 3, Jacksonville, FL 32216. The listed phone number is (904) 683-4298.

What is Gracious Health Mart LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Gracious Health Mart LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 43 other insurers list Gracious Health Mart 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 Gracious Health Mart LLC was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.