Sovr Distribution Network, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SOVR DISTRIBUTION NETWORK, LLC

Practice address

11 W 36TH St FL 3
New York, NY 10018-7146

Phone

(404) 518-0974

NPI assigned

Mar 31, 2020

Organization subpart

No

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

Authorized official

Name

Shimite Obialo

Title

Partner

Phone

(404) 518-0974

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1013545359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W 36TH ST FL 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100187146",
            "telephone_number": "404-518-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOVR DISTRIBUTION NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "OBIALO",
        "authorized_official_first_name": "SHIMITE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "404-518-0974"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark M Souweidane, MD
• Candice Danielle Souza, LMSW
• Sovereign Medical Services, PC
• Renee Sovern
• Jonathan E Soverow, MD
• Ethelore Chioma Sow, MSW
• Sire Sow
• Alexandra Catherine Sowa
• Barbara Sowa, RN
• Sowell Health PC

• Durable Medical Equipment & Medical Supplies in New York, NY
• Providers in New York, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; 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.