EXEGI PHARMA


Address: 155 Gibbs St, #506, Rockville, MD 20850-0353
Phone: 8443484887

EXEGI PHARMA (NPI# 1477090751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477090751
Entity Type Organization
Organization Name EXEGI PHARMA
Other Organization Name EXEGI DIRECT
Practice Address 155 Gibbs St
#506
Rockville
MD 20850-0353
Practice Telephone 8443484887
Mailing Telephone 8443484887
Enumeration Date 2017-01-25
Last Update Date 2017-01-25
Authorized Official Name MARC TEWEY (CEO)
Authorized Official Telephone 2408881294
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 335G00000X Medical Foods Supplier Suppliers

Other Provider/Organization Names

Other Name Type Code
ExeGi Direct Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities EXEGI PHARMA, LLC 90 Church St, Rockville, MD 20850-4123

Office Location

Street Address 155 GIBBS ST
#506
City ROCKVILLE
State MD
Zip Code 20850-0353

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225480106 Eileen Doane Registered Nurse 155 Gibbs St, Unit 419, Rockville, MD 20850-0353 2016-07-05
1679138028 M-3 Information, LLC Case Management 155 Gibbs St, Rockville, MD 20850-0353 2019-05-01

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1750924205 Omer N Pamuk Internal Medicine 9000 Rockville Pike, Building 10, Room 10n-311, Rockville, MD 20850 2019-10-28
1902456502 Fousseyni M Diawara Radiologic Technologist 1680 E Gude Dr Ste 302, Rockville, MD 20850 2019-09-16
1104485697 Barbara S Delsack Speech-Language Pathologist Montgomery County Public Schools, 850 Hungerford Drive, Rockville, MD 20850 2019-06-10
1982178158 Larissa Woloszyn Behavioral Analyst 15425 Shady Grove, Suite 320, Rockville, MD 20850 2019-01-21
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1881168805 Heather Jean Scurtu Mann Psychologist Quince Orchard Psychotherapy, 9707 Key West Avenue, Suite 100, Rockville, MD 20850 2019-01-12
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Taxonomy Information

Taxonomy Code 335G00000X
Grouping Suppliers
Classification Medical Foods Supplier

Taxonomy Definition

A supplier of special replacement foods for clients with errors of metabolism that prohibit them from eating a regular diet. Medical foods are lacking in the compounds which cause complications of the metabolic disorder, and are not generally available in grocery stores, health food stores, or pharmacies.
Notes: Source: The Children with Special Healthcare Needs (CSHCN) Services Program, a program of the Texas Department of State Health Services

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1760400014 Nation's Healthcare, LLC. Medical Foods Supplier 11515 Cronridge Dr, Suite L, Owings Mills, MD 21117-1546 2006-07-17

Competitor

Search similar providers

City ROCKVILLE
Zip Code 20850

Improve Information

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Dataset Information

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.

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