Provider Demographics
NPI:1942005145
Name:REGENEREX PHARMA, INC.
Entity type:Organization
Organization Name:REGENEREX PHARMA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN, CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:P
Authorized Official - Last Name:PILANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-202-5690
Mailing Address - Street 1:14 MAIN STREET, EAST
Mailing Address - Street 2:BUILDING D
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-2054
Mailing Address - Country:US
Mailing Address - Phone:877-761-7479
Mailing Address - Fax:
Practice Address - Street 1:7400 US HIGHWAY 64
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-3904
Practice Address - Country:US
Practice Address - Phone:901-207-5176
Practice Address - Fax:901-201-5125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-13
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center