Vine Discount Pharmacy & Medical Supply

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PHY46506 Issued in CA

Legal business name

VINE DISCOUNT PHARMACY & MEDICAL SUPPLY

Doing business as

Vine Discount Pharmacy & Medical Supply

Practice address

1253 N Vine St
Ste 11
Los Angeles, CA 90038-1662

Phone

(323) 957-9446

Fax

(323) 957-9846

NPI assigned

May 23, 2005

Last updated

Apr 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roseanne Papoyan, PHARM.D.NPI 1245304773

Title

Pharmacist-in-Charge

Phone

(323) 957-9446

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Vine Discount Pharmacy & Medical Supply Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Vine Discount Pharmacy & Medical Supply

  dba Vine Discount Pharmacy & Medical Supply, LTC

  • Long Term Care Pharmacy
  • Los Angeles, CA
  • NPI 1720875800
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roseanne Ruzanna Papoyan, PHARM. D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1245304773
  NPD Authorized official
• Lusi Akopyan

  • Pharmacist
  • Los Angeles, CA
  • NPI 1699148288
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1023011053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 N VINE ST",
            "address_2": "SUITE #11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-957-9446",
            "fax_number": "323-957-9846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1253 N VINE ST",
            "address_2": "STE 11",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900381662",
            "telephone_number": "323-957-9446",
            "fax_number": "323-957-9846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VINE DISCOUNT PHARMACY & MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-23",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "PAPOYAN",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_title_or_position": "PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "323-957-9446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "PHY46506",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "CA",
            "license": "46506",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SITE PERMIT",
            "identifier": "PHY46506",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST-IN-CHARGE LIC#",
            "identifier": "54097",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA465060",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "5607489",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vine Discount Pharmacy & Medical Supply",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pennie Vincent, CMT
• Romina Vincenti, DPM
• Claudio Jack Vincenty
• Clancy Vinchattle
• Karla Vindell, MFT
• Vine Discount Pharmacy & Medical Supply (Vine Discount Pharmacy & Medical Supply, LTC)
• Apryl Vines, RDN
• Dara Lynn Vines, PH.D.
• Hunter Dean Vines, MD
• Karen Yvonne Vines

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.