Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Wickersham, PHARMD

Individual provider Pharmacist · NPI 1063772846

Charles Wickersham, PHARMD is a Pharmacist in Modesto, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

See every abbreviation used in this directory →

Practice location Address checks out

2020 Coffee Rd Ste C2
Modesto, CA 95355-2427
Phone: (209) 522-3367
Fax: (209) 522-3375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 49925 (CA)

Record details

NPI number1063772846
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedMay 25, 2012
Last updated in NPPESMay 25, 2012

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