JULIAN THOMAS SONNENBURG (NPI# 1477162691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477162691 |
| Entity Type | Individual |
| Full Name | JULIAN THOMAS SONNENBURG |
| Practice Address |
2424 Crater Lake Hwy Medford OR 97504-4181 |
| Mailing Address |
3167 Juniper Rdg Apt 4 Medford OR 97504-5779 |
| Practice Telephone | 5417342133 |
| Practice Fax Number | 5417342127 |
| Mailing Telephone | 5416105119 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
RPH-0017932 | OR | Pharmacy Service Providers |
| Street Address |
2424 CRATER LAKE HWY |
| City | MEDFORD |
| State | OR |
| Zip Code | 97504-4181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508804550 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-03 |
| 1164064515 | Trey Austin Davenhill | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2019-10-16 |
| 1336659382 | Alexander Thomas Roe | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2017-10-04 |
| 1134555691 | Fatima Aboozar | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-09-16 |
| 1992144109 | Mark Lee Shuey | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
| 1922447119 | Kenneth F Hahn | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2013-06-20 |
| 1811262819 | Roberta Lee Hupp | Pharmacist | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2012-03-09 |
| 1003842733 | Fred Meyer Stores Inc | Durable Medical Equipment & Medical Supplies | 2424 Crater Lake Hwy, Medford, OR 97504-4181 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225673833 | Lydia D Sneed | Behavioral Analyst | 3707 Citation Way, Suite 102, Medford, OR 97504 | 2019-11-07 |
| 1114577368 | Heather Ashley Fronek | Nurse Practitioner | 2825 E. Barnett Rd., Medford, OR 97504 | 2019-09-18 |
| 1255809109 | Justin Blasdel | Technician, Health Information | 3250 Lone Pine Rd, Medford, OR 97504 | 2018-11-08 |
| 1396220133 | Aimee K Michel | Massage Therapist | 3550 National Dr., Medford, OR 97504 | 2018-09-27 |
| 1437646908 | Zola Dental Medford LLC | Dentist | 922 E Main, Medford, OR 97504 | 2018-04-19 |
| 1376068015 | Megan Leggett | Counselor | 777 Murphy Road, Medford, OR 97504 | 2017-08-03 |
| 1023547536 | Joshua Morgan Rice | Dentist | 1117 E Main St Ste 1, Medford, OR 97504 | 2017-06-08 |
| 1427580232 | Paul James Dean | Counselor | 1175 Main St Ste 1c, Medford, OR 97504 | 2017-03-30 |
| 1811443542 | Taya Adams | Doula | 1201 Progress Dr #90, Medford, OR 97504 | 2016-09-01 |
| 1174076228 | Avalon Health Care - Hearthstone, LLC | Skilled Nursing Facility | 2091 E. Barnett Road, Medford, OR 97504 | 2016-07-25 |
| Find all providers in zip 97504 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
| 1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
| 1316390008 | Timothy L Lichlyter | Pharmacist | 2924 Siskiyou Blvd Ste 102, Medford, OR 97504-8194 | 2016-07-18 |
| 1649504507 | Drilon Saliu | Pharmacist | 75 Station Lndg, Medford, MA 02155-5127 | 2009-09-25 |
| 1679174080 | Tiffany Chau | Pharmacist | 981 Medford Ctr, Medford, OR 97504-6700 | 2020-11-03 |
| 1386283166 | Ruthie Nguyen | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-12-27 |
| 1861034621 | Mark Vance | Pharmacist | 70 Bower Dr, Medford, OR 97501-3689 | 2019-10-14 |
| 1063061554 | Brandee Harris | Pharmacist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2019-09-06 |
| 1437631819 | Khabiba Abduganieva | Pharmacist | 1580 Route 112, Medford, NY 11763-3655 | 2018-09-03 |
| 1396273561 | Alison Sigler | Pharmacist | 19 Myrtle St, Medford, OR 97504-7337 | 2017-05-31 |
| Find all providers in MEDFORD | ||||
Please comment or provide details below to improve the information on JULIAN THOMAS SONNENBURG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.