NPIMap

Organization Active NPI

Vine Discount Pharmacy & Medical Supply

Doing business as Vine Discount Pharmacy & Medical Supply, LTC

  • Long Term Care Pharmacy
  • Los Angeles, CA
National Provider Identifier
1720875800
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
Doing business as
Vine Discount Pharmacy & Medical Supply, LTC
Practice address
1253 Vine St Ste 11
Los Angeles, CA 90038-1662
Phone
(323) 957-9446
Fax
(323) 957-9846
NPI assigned
Apr 22, 2025
Organization subpart
Yes
Parent organization
VINE DISCOUNT PHARMACY & MEDICAL SUPPLYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Roseanne Ruzanna Papoyan, PHARM.D.NPI 1245304773
Title
President
Phone
(323) 957-9446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

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

Mailing address

1253 Vine St Ste 11
Los Angeles, CA 90038-1662
Phone (323) 957-9446

Other names 1

  • Vine Discount Pharmacy & Medical Supply, LTC Doing business as

National Provider Directory

National Provider Directory
Part of
Vine Discount Pharmacy Med

Locations

1253 Vine St
Ste 11
Los Angeles, CA 90038
Phone (323) 957-9446

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1720875800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VINE ST STE 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 VINE ST 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": "YES",
        "parent_organization_legal_business_name": "VINE DISCOUNT PHARMACY & MEDICAL SUPPLY",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "PAPOYAN",
        "authorized_official_first_name": "ROSEANNE",
        "authorized_official_middle_name": "RUZANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-957-9446",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vine Discount Pharmacy & Medical Supply, LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.

Verify at the official NPI Registry.