Jack Shawn Houghtaling, PHARM.D.

Pharmacist · San Rafael, CA

Individual Active NPI

NPI number 1225010705

Practice location

830 3rd St
San Rafael, CA 94901-3302
Phone
(415) 455-9919

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NPI record

NPI
1225010705
Entity type
Individual (Type 1)
Enumeration date
November 18, 2005
Last updated
July 13, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 54643 CA

Mailing address

1138 Gamble Ln
Escondido, CA 92029-4438

About Dr. Houghtaling

Jack Shawn Houghtaling, PHARM.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 830 3rd St, San Rafael, CA 94901-3302. The NPI number 1225010705 was assigned on November 18, 2005 and the record was last updated on July 13, 2026.

Dr. Houghtaling lists a license in the registry: #54643 (CA) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jack Shawn Houghtaling, PHARM.D.?

The NPI number is 1225010705.

What is the phone number of Dr. Houghtaling?

The phone number listed for the practice location is (415) 455-9919.

Where is Dr. Houghtaling located?

830 3rd St, San Rafael, CA 94901-3302.

What is the taxonomy code for Dr. Houghtaling?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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