Organization Active NPI

Sonnenburg Enterprises Inc

Doing business as Waldies Pharmacy

  • Community/Retail Pharmacy
  • Brenham, TX
National Provider Identifier
1497838064
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
309 Issued in TX
Legal business name
SONNENBURG ENTERPRISES INC
Doing business as
Waldies Pharmacy
Practice address
203 E Academy St
Brenham, TX 77833-3207
Phone
(979) 836-5684
Fax
(979) 836-5856
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall Sonnenburg, RPH
Title
Pres
Phone
(979) 836-5684

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 309 TX Primary

Addresses

Primary practice location

203 E Academy St
Brenham, TX 77833-3207

Mailing address

203 E Academy St
Brenham, TX 77833-3207
Phone (979) 836-5684

Other identifiers 2

IdentifierTypeStateIssuer
140834MedicaidTX
2093708OtherPK

Other names 1

  • WALDIES PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

203 E Academy St
Brenham, TX 77833
Phone (979) 836-5684

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447977600000",
    "number": "1497838064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 E ACADEMY ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333207",
            "telephone_number": "979-836-5684",
            "fax_number": "979-836-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 E ACADEMY ST",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778333207",
            "telephone_number": "979-836-5684",
            "fax_number": "979-836-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONNENBURG ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-11-20",
        "status": "A",
        "authorized_official_last_name": "SONNENBURG",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "979-836-5684",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140834",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2093708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WALDIES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.