Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jack Shawn Houghtaling, PHARMD

Individual provider Pharmacist · NPI 1225010705

Dr. Jack Shawn Houghtaling, PHARMD is a Pharmacist in San Rafael, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

830 3rd St
San Rafael, CA 94901-3302
Phone: (415) 455-9919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 54643 (CA)

Record details

NPI number1225010705
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESJuly 13, 2026

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