NPIMap

Organization Active NPI

Exegi Pharma

  • Medical Foods Supplier
  • Rockville, MD
National Provider Identifier
1477090751
Registry record updated Jan 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Foods SupplierTaxonomy code 335G00000X
Legal business name
EXEGI PHARMA
Practice address
155 Gibbs St
#506
Rockville, MD 20850-0353
Phone
(844) 348-4887
NPI assigned
Jan 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2017

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

Authorized official

Name
Marc Tewey
Title
Ceo
Phone
(240) 888-1294

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Foods Supplier 335G00000X Primary

Addresses

Primary practice location

155 Gibbs St
#506
Rockville, MD 20850-0353

Mailing address

155 Gibbs St
#506
Rockville, MD 20850-0353
Phone (844) 348-4887

Other names 1

  • ExeGi Direct Other name

National Provider Directory

National Provider Directory

Locations

155 Gibbs St
Unit 506
Rockville, MD 20850
Phone (844) 348-4887

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485302400000",
    "number": "1477090751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GIBBS ST",
            "address_2": "#506",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500353",
            "telephone_number": "844-348-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 GIBBS ST",
            "address_2": "#506",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208500353",
            "telephone_number": "844-348-4887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEGI PHARMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2017-01-25",
        "status": "A",
        "authorized_official_last_name": "TEWEY",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-888-1294"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ExeGi Direct",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.