What is Charles Wickersham's NPI number?

Charles Wickersham's National Provider Identifier (NPI) is 1063772846, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Charles Wickersham's specialty?

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

Where is Charles Wickersham located?

Charles Wickersham's practice location on file with NPPES is 2020 Coffee Rd, Modesto, CA 95355-2427.

What is Charles Wickersham's phone number?

The practice phone number listed in the NPPES registry for Charles Wickersham is (209) 522-3367.

Is Charles Wickersham's NPI active?

Yes — Charles Wickersham's NPI (1063772846) is active in the NPPES registry as of the last update on 2012-05-25.

IndividualActive

Charles Wickersham, PHARMD.

NPI 1063772846 · Pharmacist · Modesto, CA

Charles Wickersham, PHARMD. is a Pharmacist provider in Modesto, CA (NPI 1063772846).

Provider details

NPI number: 1063772846
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: PHARMD.
Sex: Male
Sole proprietor: No
License: 49925 (CA)

Specialties & taxonomies

PharmacistPrimary183500000XLicense 49925 (CA)
Pharmacy Service Providers

Profile Score

Detailed profile(79/100 index)

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

Registry tenure38% of score
14 yrs in NPPES 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

2020 Coffee Rd

Suite C2

Modesto, CA 95355-2427

Phone: (209) 522-3367

Fax: (209) 522-3375

Street-level locationGet directions

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Mailing address