Wailea Pharmacy Llc
Community/Retail Pharmacy
34 Wailea Gateway Pl Ste A103, Wailea
Hawaii, 96753-6525
808-879-0123 808-879-2345
Wailea Pharmacy Llc is a Community/Retail Pharmacy in Wailea, Hawaii. It is located at 34 Wailea Gateway Pl Ste A103, Wailea and it's customer support contact number is 808-879-0123. The authorized person of Wailea Pharmacy Llc is Farah Mikhail who is Member of the pharmacy and his contact number is 808-927-3426. Active license number of Wailea Pharmacy Llc is PHY-855 for Community/Retail Pharmacy in Hawaii. Wailea Pharmacy Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Wailea 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:
Wailea 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: | Wailea Pharmacy Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 34 Wailea Gateway Pl Ste A103, Wailea,
Hawaii, 96753-6525 |
| Phone: | 808-879-0123 |
| Fax: | 808-879-2345 |
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: | Farah Mikhail |
| Position: | Member |
| Contact Number: | 808-927-3426 |
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: | 1285041319 |
| NPI Enumeration Date: | 21 Jul, 2014 |
| NPI Last Update On: | 19 Jan, 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 Wailea Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PHY-855 | Hawaii | Primary | |
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 |
| 2147004 | Other | | Pk |
Medicare Enrollment:
Wailea 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 |
| 5698092583 | O20150403000291 | Wailea 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: | 34 Wailea Gateway Pl # A103,
Wailea, Hawaii |
| Zip: | 96753-6525 |
| Phone Number: | 808-879-0123 |
| Fax Number: | 808-879-2345 |
Patients can reach Wailea Pharmacy Llc at
34 Wailea Gateway Pl Ste A103, Wailea, Hawaii or can
call on customer care at 808-879-0123.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.