Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063772846 Individual Practitioner Male Practitioner

Dr. Charles Wickersham , PharmD

Pharmacist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Charles Wickersham, PharmD is a registered healthcare professional specializing in Pharmacist in Modesto, CA. Practice services are available at 2020 COFFEE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2020 Coffee Rd
Suite C2

Modesto, CA 953552427

Telephone 2095223367
Fax 2095223375
Associated Practice Facility / Clinic
🏢 B & B Pharmacy Services Llc Facility NPI 1033107438

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Modesto, CA

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

Practicing in Modesto, 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 49925

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

1 Associated Practitioners
NPI 1063655652

Registered Pharmacist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 25, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location May 25, 2012

Registered at 2020 COFFEE RD, SUITE C2, MODESTO, CA 953552427 (Tel: 2095223367)

📍
Updated Business Mailing Address May 25, 2012

Registered at 2020 COFFEE RD, SUITE C2, MODESTO, CA 953552427 (Tel: 2095223367)

👤
Provider Name / Credentials Updated May 25, 2012

Recorded as CHARLES WICKERSHAM, PHARMD.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 25, 2012

Pharmacist (License #49925 in CA)

🟢
Initial NPI Registration & Enumeration May 25, 2012

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: 1063772846
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 25, 2012
Last Update: May 25, 2012
Sole Proprietor: No

Mailing Address

2020 Coffee Rd, Suite C2

Modesto, CA 953552427

Phone: 2095223367

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.