Provider Demographics
NPI:1619340452
Name:RESPIRA, INC.
Entity Type:Organization
Organization Name:RESPIRA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YOLANDA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-200-0055
Mailing Address - Street 1:521 PROGRESS DR
Mailing Address - Street 2:SUITE A-C
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2241
Mailing Address - Country:US
Mailing Address - Phone:443-200-0055
Mailing Address - Fax:443-200-0054
Practice Address - Street 1:1909 BRAGG BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28303-4387
Practice Address - Country:US
Practice Address - Phone:910-302-8130
Practice Address - Fax:910-302-8071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-02
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC02328OtherBOARD OF PHARMACY LICENSE