Provider Demographics
NPI:1114707643
Name:MEDIUM BRAND LLC
Entity Type:Organization
Organization Name:MEDIUM BRAND LLC
Other - Org Name:SINGULARITY HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:VARGHESE
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMACIST
Authorized Official - Phone:281-778-0180
Mailing Address - Street 1:5819 HIGHWAY 6 STE 150
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4061
Mailing Address - Country:US
Mailing Address - Phone:281-778-0180
Mailing Address - Fax:281-778-0034
Practice Address - Street 1:5819 HIGHWAY 6 STE 150
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-4061
Practice Address - Country:US
Practice Address - Phone:281-778-0180
Practice Address - Fax:281-778-0034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistGroup - Single Specialty