Gracious Health Mart LLC
NPI 1245895929 · Long Term Care Pharmacy · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gracious Health Mart LLC is a Long Term Care Pharmacy organization in Jacksonville, FL (NPI 1245895929).
Provider details
- NPI number
- 1245895929
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Krystal Mims, Owner(334) 819-4500
Specialties & taxonomies
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mass Pharmacy
- Doing business as
- Mass Pharmacy
Registry dates
- Enumerated
- 2019-05-07
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Gracious Health Mart LLC's NPI number?
- Gracious Health Mart LLC's National Provider Identifier (NPI) is 1245895929, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gracious Health Mart LLC?
- Gracious Health Mart LLC is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Gracious Health Mart LLC located?
- Gracious Health Mart LLC's practice location on file with NPPES is 4237 Salisbury Rd Bldg 3, Jacksonville, FL 32216-8029.
- What is Gracious Health Mart LLC's phone number?
- The practice phone number listed in the NPPES registry for Gracious Health Mart LLC is (904) 683-4298.
- Does Gracious Health Mart LLC accept Medicare?
- Gracious Health Mart LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Gracious Health Mart LLC?
- The authorized official listed on Gracious Health Mart LLC's NPPES record is Krystal Mims, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gracious Health Mart LLC's NPI active?
- Yes — Gracious Health Mart LLC's NPI (1245895929) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.