NPI 1154980241 · live from the CMS NPI Registry
Jake Blechta, PHARMD
Pharmacist in Kailua, HI. National Provider Identifier 1154980241, active.
NPI record
| NPI | 1154980241 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Pharmacist 183500000X |
| Practice location | 1090 Keolu Dr Ste 112, Kailua, HI 96734 |
| Practice phone | 808-260-9894 |
| Enumerated | June 12, 2019 |
| Last updated | June 12, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacist primary | 183500000X | PH2988 (HI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.