Healthcare Provider Details

I. General information

NPI: 1821192519
Provider Name (Legal Business Name): SOPOREX RESPIRATORY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1306 S 12TH ST
MURRAY KY
42071-9302
US

IV. Provider business mailing address

1306 S 12TH ST
MURRAY KY
42071-9302
US

V. Phone/Fax

Practice location:
  • Phone: 270-753-5205
  • Fax: 800-881-3192
Mailing address:
  • Phone: 270-753-5205
  • Fax: 800-881-3192

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License NumberP07112
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code3336M0002X
TaxonomyMail Order Pharmacy
License NumberP07112
License Number StateKY

VIII. Authorized Official

Name: MS. SHARON LEE TOLLIVER
Title or Position: CHIEF OPERATING OFFICER
Credential: RN
Phone: 513-313-6260