Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JACK SHAWN HOUGHTALING PHARM.D.
NPI 1225010705
Pharmacist in San Rafael, CA

Q: What is Jack Houghtaling's NPI number?

The NPI number for Jack Houghtaling is 1225010705. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Q: What is Jack Houghtaling's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Houghtaling was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.

Active since November 18, 2005

830 3RD ST, SAN RAFAEL, CA 94901(415) 455-9919 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Jack Shawn Houghtaling Pharm.d. NPPES

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

DR. JACK SHAWN HOUGHTALING PHARM.D. (NPI 1225010705) is an individual pharmacist in San Rafael, California, licensed in California (54643) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1225010705

Entity TypeIndividualMale

Primary Taxonomy183500000X

Provider Legal NameDR. JACK SHAWN HOUGHTALINGCredential: PHARM.D.

Location Address830 3RD STSan Rafael, CA 94901-3302

Mailing Address1138 Gamble LnEscondido, CA 92029-4438

Phone(415) 455-9919

Sole ProprietorNo

Enumeration DateNovember 18, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1225010705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in CA · 54643

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.

830 3RD ST, San Rafael, CA 94901

Open in Google Maps ↗

Other Providers at the Same Location NPPES 10

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

WALGREEN CO

Pharmacy