Active NPI
Roseanne Ruzanna Papoyan, PHARM. D.
- Pharmacist
- Los Angeles, CA
National Provider Identifier
1245304773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 54097
- Practice address
- 1253 Vine St
#11
Los Angeles, CA 90038-1662 - Phone
- (818) 334-3772
- Fax
- (323) 957-9846
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 54097 | CA | Primary |
Addresses
Primary practice location
1253 Vine St
#11
Los Angeles, CA 90038-1662
Mailing address
1253 N Vine St
#11
Los Angeles, CA 90038
Phone (818) 334-3772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54097 | Other | CA | STATE LIC FOR PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vine Discount Pharmacy & Medical Supply | Current | Accepting new patients | |
| Vine Discount Pharmacy & Medical Supply | Current | Accepting new patients |
Locations
1253 Vine St
Ste 11
Los Angeles, CA 90038
Phone (323) 957-9446
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Los Angeles, CA
- NPI 1023011053
-
dba Vine Discount Pharmacy & Medical Supply, LTC
- Long Term Care Pharmacy
- Los Angeles, CA
- NPI 1720875800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1245304773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 N VINE ST",
"address_2": "#11",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90038",
"telephone_number": "818-334-3772",
"fax_number": "323-957-9846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 VINE ST",
"address_2": "#11",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381662",
"telephone_number": "818-334-3772",
"fax_number": "323-957-9846"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPOYAN",
"first_name": "ROSEANNE",
"middle_name": "RUZANNA",
"name_prefix": "Dr.",
"credential": "PHARM. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "54097",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LIC FOR PHARMACIST",
"identifier": "54097",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.