Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Vine Discount Pharmacy & Medical Supply

Organization Community/Retail Pharmacy · NPI 1023011053

Vine Discount Pharmacy & Medical Supply is a Community/Retail Pharmacy in Los Angeles, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
Specialties on file
2

Practice location Address checks out

1253 N Vine St Ste 11
Los Angeles, CA 90038-1662
Phone: (323) 957-9446
Fax: (323) 957-9846
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence PHY46506 (CA)
Specialty Pharmacy Taxonomy 3336S0011X · Licence 46506 (CA)

Record details

NPI number1023011053
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roseanne Papoyan — Pharmacist-In-Charge · (323) 957-9446
Other names Vine Discount Pharmacy & Medical Supply
NPI enumeratedMay 23, 2005
Last updated in NPPESApril 22, 2025
Certification dateApril 22, 2025
Mailing address1253 N Vine St, Suite #11, Los Angeles, CA 90038-1662

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