First-principles calculations are performed to investigate atomic and electronic structures of Sr(2+) ions substituting for Ca(2+) in octacalcium phosphate (OCP). The defect formation energies are evaluated from total energies of supercells and ionic chemical potentials of Sr(2+) and Ca(2+) determined under the chemical equilibrium with aqueous solution saturated with hydroxyapatite (HAp). The defect formation energy depends on the solution pH and the substitutional Ca sites in OCP, and the estimated equilibrium concentrations of Sr(2+) in OCP and HAp are in reasonable agreement with previous experimental results obtained in physiological conditions. It is also found that Sr(2+) ions can be more favorably substituted in OCP than in HAp. It is thought, therefore, that Sr(2+) plays its role to promote bone formation by being incorporated into the metastable OCP phase occurring during HAp nucleation.