Active NPI
Sonnenburg Enterprises Inc
Doing business as Waldies Pharmacy
- Community/Retail Pharmacy
- Brenham, TX
National Provider Identifier
1497838064
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 309
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140834 | Medicaid | TX | |
| 2093708 | Other | PK |
Other names 1
- WALDIES PHARMACY
National Provider Directory
National Provider DirectoryLocations
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
- Amy Michelle Smith, DPT
- Jennifer McConnell Smith, FNP
- Marisa Smith, PHARMD
- Douglas Kirk Snyder, PH.D.
- Sole Support Restorative Footwear, LLC
- Sonnenburg Enterprises Inc. (Medical Arts Drug Co)
- Gary Lynn Sonnenburg, RPH
- South Limestone Hospital District (High Hope Care Center of Brenham)
- Serena L Speaker, OTR
- Wendy Cay Spitzenberger, P.T.A.
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.