Kailash Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

KAILASH PHARMACY LLC

Practice address

1107 N Nova Rd
Daytona Beach, FL 32117-4108

Phone

(713) 992-3289

Fax

(386) 256-3177

NPI assigned

Mar 14, 2024

Organization subpart

No

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

Authorized official

Name

Kajal L Mehta, RPH

Title

Owner

Phone

(386) 256-3177

Specialties & licenses 1

Addresses

Other names 2

• COMMUNITY PHARMACY OF HOLLY HILL Doing business as
• KAILASH PHARMACY LLC Former legal business name

Locations

Networks

• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…
• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejas Mehta

  • Pharmacist
  • Cocoa, FL
  • NPI 1902291388
  NPD

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771545600000",
    "number": "1932968757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3755 S NOVA RD STE A",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321294282",
            "telephone_number": "713-992-3289",
            "fax_number": "386-256-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 N NOVA RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174108",
            "telephone_number": "713-992-3289",
            "fax_number": "386-256-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILASH PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "KAJAL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-256-3177",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY PHARMACY OF HOLLY HILL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "KAILASH PHARMACY LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Gretchen B Jungermann, DMD, MS
• Christina Ann Junior, DPT
• Cheyenne Rae Justice
• Erin Grey Kachur, PHARMD
• Harjot Singh Kahlon
• Matthew Kamel, MD
• Susan Kamelgarn, ARNP
• Joseph M Kaminski, M.D.
• Hannah Kamphaus
• Cristi Lynn Kamps, M.A.

• Community/Retail Pharmacy in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; 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.