Individual provider · Type 1 NPI

Jack Shawn Houghtaling, PharmD

Pharmacist · San Rafael, CA

NPI number 1225010705 Active

Practice location

830 3rd St
San Rafael, CA 94901-3302

Call (415) 455-9919 Map

Mailing address

1138 Gamble Ln
Escondido, CA 92029-4438

Specialties and licenses

Taxonomy	Code	License
Pharmacist Primary	183500000X	54643 (CA)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1225010705

Jack Shawn Houghtaling, PharmD's National Provider Identifier is 1225010705, issued on Nov 18, 2005. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in San Rafael, CA. The record was last updated on Jul 13, 2026.