What is Jeremiah Hutauruk's NPI number?

Jeremiah Hutauruk's National Provider Identifier (NPI) is 1104765551, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jeremiah Hutauruk's specialty?

Jeremiah Hutauruk is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).

Where is Jeremiah Hutauruk located?

Jeremiah Hutauruk's practice location on file with NPPES is 4535 Holt Blvd, Montclair, CA 91763-4710.

What is Jeremiah Hutauruk's phone number?

The practice phone number listed in the NPPES registry for Jeremiah Hutauruk is (909) 624-4177.

Is Jeremiah Hutauruk's NPI active?

Yes — Jeremiah Hutauruk's NPI (1104765551) is active in the NPPES registry as of the last update on 2026-03-27.

IndividualActive

Jeremiah Hutauruk, RPH

NPI 1104765551 · Pharmacist · Montclair, CA

Jeremiah Hutauruk, RPH is a Pharmacist provider in Montclair, CA (NPI 1104765551).

Provider details

NPI number: 1104765551
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: 92092 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 92092 (CA)
Pharmacy Service Providers

Profile Score

Established profile(53/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

4535 Holt Blvd

Montclair, CA 91763-4710

Phone: (909) 624-4177

Fax: (909) 624-4177

Street-level locationGet directions

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Mailing address