Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225010705 Individual Practitioner Male Practitioner

Dr. Jack Shawn Houghtaling , PharmD

Pharmacist • San Rafael, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jack Houghtaling, PharmD is a registered healthcare professional specializing in Pharmacist in San Rafael, CA. Practice services are available at 830 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

830 3rd St

San Rafael, CA 949013302

Telephone 4154559919
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1205841574

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in San Rafael, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.8 Yrs
Regional Practice Density
124 Specialists

Practicing in San Rafael, CA (33119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CA 54643

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
NPI 1285915041

Doctor of Pharmacy (Pharm.D.)

NPI 1285916981

Registered Pharmacist

NPI 1396026340

Registered Pharmacist

NPI 1396027454

Registered Pharmacist

NPI 1497223267

Doctor of Pharmacy (Pharm.D.)

NPI 1750664744

Registered Pharmacist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 830 3RD ST, SAN RAFAEL, CA 949013302 (Tel: 4154559919)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1138 GAMBLE LN, ESCONDIDO, CA 920294438

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK HOUGHTALING, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #54643 in CA)

🟢
Initial NPI Registration & Enumeration November 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225010705
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 18, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1138 Gamble Ln

Escondido, CA 920294438

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.