Healthcare Provider Details

I. General information

NPI: 1538006291
Provider Name (Legal Business Name): GRACE PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

546 PARKERS MILL RD UNIT B
SOMERSET KY
42501-3154
US

IV. Provider business mailing address

546 PARKERS MILL RD UNIT B
SOMERSET KY
42501-3154
US

V. Phone/Fax

Practice location:
  • Phone: 606-416-5416
  • Fax: 606-416-5042
Mailing address:
  • Phone: 606-416-5416
  • Fax: 606-416-5042

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES ARTHUR STATON IV
Title or Position: OWNER
Credential: PHARMD
Phone: 606-306-1248