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CHARLES WICKERSHAM PHARMD.
NPI 1063772846
Pharmacist in Modesto, CA

Active since May 25, 2012
2020 COFFEE RD, SUITE C2, MODESTO, CA 95355(209) 522-3367(209) 522-3375 Get Directions Write a Review

NPPES record last updated: May 25, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles Wickersham Pharmd. NPPES

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

CHARLES WICKERSHAM PHARMD. (NPI 1063772846) is an individual pharmacist in Modesto, California, licensed in California (49925) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1063772846
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameCHARLES WICKERSHAMCredential: PHARMD.
Location Address2020 COFFEE RD, SUITE C2Modesto, CA 95355-2427
Mailing Address2020 Coffee Rd, Suite C2Modesto, CA 95355-2427 · (209) 522-3367 · Fax (209) 522-3375
Phone(209) 522-3367
Fax(209) 522-3375
Sole ProprietorNo
Enumeration DateMay 25, 2012
✔ NPI 1063772846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in CA · 49925
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.

2020 COFFEE RD, Modesto, CA 95355
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Other Providers at the Same Location NPPES 17

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

DR. LAVEDITA LEVETTE PARKER DDS
Dentist
2020 COFFEE RD, SUITE E
MODESTO, CA 95355
Stanislaus County (209) 571-9855
B & B PHARMACY SERVICES LLC
Pharmacy (Long Term Care Pharmacy)
2020 COFFEE RD, STE C2
MODESTO, CA 95355
Stanislaus County (209) 522-3367
MS. KRISTI ABIGAIL CARSON C.M.T.
Massage Therapist
2020 COFFEE RD, STE. D-3
MODESTO, CA 95355
Stanislaus County (209) 525-9133
MR. BRETT A HUGHES DC
Chiropractor
2020 COFFEE RD, STE J5
MODESTO, CA 95355
Stanislaus County (209) 523-2225
MR. JEROLD ROSENTHAL M.F.T.
Marriage & Family Therapist
2020 COFFEE RD, H-6
MODESTO, CA 95355
Stanislaus County (209) 522-6246
TRINH MAI NGOC VO DDS
Dentist (General Practice)
2020 COFFEE RD, A-4
MODESTO, CA 95355
Stanislaus County (209) 527-7550
DR. DONALD RICHARD VAN BIBBER D.D.S.
Dentist (General Practice)
2020 COFFEE RD, SUITE J4
MODESTO, CA 95355
Stanislaus County (209) 526-4560
MRS. KIM TRAN VU D.D.S.
Dentist (General Practice)
2020 COFFEE RD, STE. G-2
MODESTO, CA 95355
Stanislaus County (209) 491-2224

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 Charles Wickersham's NPI number?

The NPI number for Charles Wickersham is 1063772846. It was assigned to this individual provider in the NPPES registry on May 25, 2012.

Where is Charles Wickersham located?

Charles Wickersham practices at 2020 Coffee Rd Suite C2, Modesto, CA 95355. The listed phone number is (209) 522-3367.

What is Charles Wickersham'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 Charles Wickersham was last updated on May 25, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.