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DR. JEREMIAH CALEB HUTAURUK RPH
NPI 1104765551
Pharmacist in Montclair, CA

Active since March 27, 2026
4535 HOLT BLVD, MONTCLAIR, CA 91763(909) 624-4177(909) 624-4177 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jeremiah Caleb Hutauruk Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEREMIAH CALEB HUTAURUK RPH (NPI 1104765551) is an individual pharmacist in Montclair, California, licensed in California (92092) and active in the NPI registry since March 2026.

NPPES Registry Identity

NPI1104765551
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameDR. JEREMIAH CALEB HUTAURUKCredential: RPH
Location Address4535 HOLT BLVDMontclair, CA 91763-4710
Mailing Address4535 Holt BlvdMontclair, CA 91763-4710 · (909) 624-4177 · Fax (909) 624-4177
Phone(909) 624-4177
Fax(909) 624-4177
Sole ProprietorNo
Enumeration DateMarch 27, 2026
NPPES CertifiedMarch 27, 2026
✔ NPI 1104765551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 92092
Definition
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, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
4535 HOLT BLVD, Montclair, CA 91763
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEVIN LO
Pharmacist
4535 HOLT BLVD
MONTCLAIR, CA 91763
San Bernardino County (909) 624-4177
GARFIELD BEACH CVS LLC
Pharmacy
4535 HOLT BLVD
MONTCLAIR, CA 91763
San Bernardino County (909) 624-4177
YOONCHAN CHRISTIAN LIM RPH
Pharmacist
4535 HOLT BLVD
MONTCLAIR, CA 91763
San Bernardino County (909) 624-4177

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Hutauruk's NPI number?

The NPI number for Jeremiah Hutauruk is 1104765551. It was assigned to this individual provider in the NPPES registry on March 27, 2026.

Where is Jeremiah Hutauruk located?

Jeremiah Hutauruk practices at 4535 Holt Blvd, Montclair, CA 91763. The listed phone number is (909) 624-4177.

What is Jeremiah Hutauruk's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Jeremiah Hutauruk was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.