MEDICARE: DR. CHARLES MATTHEW WALKER PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	PH100001382	DC
2	183500000X	Pharmacist	20970	MD
3	183500000X	Pharmacist	22955	NC
4	183500000X	Pharmacist	RPH022566	GA
5	183500000X	Pharmacist	A1-0016082	DE
6	1835P0018X	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	0202210401	VA
7	183500000X	Pharmacist	011178	SC

General Provider Information

NPI Number	:	1720074180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHARLES MATTHEW WALKER PHARMD

Provider Business Mailing Address
First Line	:	490 M ST SW APT W105
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2636
Country	:	US
Telephone Number	:	202-826-6288
Fax Number	:

Provider Business Practice Location Address
First Line	:	490 M ST SW APT W105
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2636
Country	:	US
Telephone Number	:	202-826-6288
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	04/24/2025

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