Kailua Family Pharmacy Llc
Community/Retail Pharmacy
1090 Keolu Dr Ste 112113, Kailua
Hawaii, 96734-3871
808-260-9894 808-260-9957
Kailua Family Pharmacy Llc is a Community/Retail Pharmacy in Kailua, Hawaii. It is located at 1090 Keolu Dr Ste 112113, Kailua and it's customer support contact number is 808-260-9894. The authorized person of Kailua Family Pharmacy Llc is Jake Blechta who is President of the pharmacy and his contact number is 808-397-1336. Active license number of Kailua Family Pharmacy Llc is PHY-856 for Community/Retail Pharmacy in Hawaii. Kailua Family Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Kailua Family Pharmacy Llc is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Kailua Family Pharmacy Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Kailua Family Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1090 Keolu Dr Ste 112113, Kailua,
Hawaii, 96734-3871 |
| Phone: | 808-260-9894 |
| Fax: | 808-260-9957 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jake Blechta |
| Position: | President |
| Contact Number: | 808-397-1336 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1740684604 |
| NPI Enumeration Date: | 21 Oct, 2014 |
| NPI Last Update On: | 08 Feb, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kailua Family Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY-856 | Hawaii | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2148405 | Other | | Pk |
Medicare Enrollment:
Kailua Family Pharmacy Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547579013 | O20151023000340 | Kailua Family Pharmacy Llc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1090 Keolu Dr, Ste #112/113
Kailua, Hawaii |
| Zip: | 96734-3871 |
| Phone Number: | 808-260-9894 |
| Fax Number: | 808-260-9957 |
Patients can reach Kailua Family Pharmacy Llc at
1090 Keolu Dr Ste 112113, Kailua, Hawaii or can
call on customer care at 808-260-9894.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.