Jake Blechta, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH2988 Issued in HI

Practice address

1090 Keolu Dr Ste 112
Kailua, HI 96734-3871

Phone

(808) 260-9894

NPI assigned

Jun 12, 2019

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kailua Family Pharmacy LLC

  • Community/Retail Pharmacy
  • Kailua, HI
  • NPI 1740684604
  NPD Authorized official
• Maikai Pharmacy Services, LLC

  • Compounding Pharmacy
  • Kailua, HI
  • NPI 1649015256
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1154980241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 KEOLU DR STE 112",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343871",
            "telephone_number": "808-260-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 KEOLU DR STE 112",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343871",
            "telephone_number": "808-260-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLECHTA",
        "first_name": "JAKE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "HI",
            "license": "PH2988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph E.N. Bird, LMT
• Akemi Nakagawa Bischoff, L.AC.
• Jessica Bishop
• Brandee S Black, M.D.
• Margaret Irene Blaser, D.O.M.,L.AC., L.M.T.
• Jacquelyn Jacky Blickenstaff, BCBA
• Blue Therapy LLC
• Madeline Rose Boender, MSW
• Vanessa Catherine Bogert
• Princess Bohol

• All providers in Kailua, HI
• Pharmacist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.