VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
NPI 1023011053
Pharmacy - Community/Retail Pharmacy in Los Angeles, CA

Q: What is Vine Discount Pharmacy & Medical Supply's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since May 23, 2005CLIA 05D2153862 · Waiver

1253 N VINE ST, STE 11, LOS ANGELES, CA 90038(323) 957-9446(323) 957-9846 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Vine Discount Pharmacy & Medical Supply NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINE DISCOUNT PHARMACY & MEDICAL SUPPLY (NPI 1023011053) is a healthcare organization registered as a community/retail pharmacy in Los Angeles, California and active in the NPI registry since May 2005. The organization holds a CLIA Waiver certificate valid through August 30, 2026 and lists Roseanne Papoyan, Pharmacist-in-charge, as its authorized official.

NPPES Registry Identity

NPI1023011053

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameVINE DISCOUNT PHARMACY & MEDICAL SUPPLY

Location Address1253 N VINE ST, STE 11Los Angeles, CA 90038-1662

Mailing Address1253 N Vine St, Suite #11Los Angeles, CA 90038-1662 · (323) 957-9446 · Fax (323) 957-9846

Phone(323) 957-9446

Fax(323) 957-9846

Organization SubpartNo

Authorized OfficialRoseanne PapoyanPharmacist-in-charge · (323) 957-9446

Enumeration DateMay 23, 2005

Last NPPES UpdateApril 22, 2025

NPPES CertifiedApril 22, 2025

✔ NPI 1023011053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY46506

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X · License 46506 (CA)

1253 N VINE ST, Los Angeles, CA 90038

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Other Names 1

Doing Business AsVine Discount Pharmacy & Medical Supply

Other Identifiers 4

Other54097CA · Pharmacist-in-charge Lic#

MedicaidPHA465060CA

Other5607489CA · Ncpdp

OtherPHY46506CA · Site Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2153862

Vine Discount Pharmacy · Los Angeles, CA

Active · expires Aug 30, 2026

CLIA Number05D2153862

Laboratory TypePharmacy

Certificate Effective DateAugust 31, 2024

Certificate Expiration DateAugust 30, 2026

Laboratory DirectorRoseanne R. Papoyan

Laboratory Phone(323) 957-9446

Laboratory LocationVine Discount Pharmacy1253 N Vine Street Suite 11, Los Angeles, CA 90038

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vine Discount Pharmacy & Medical Supply's NPI number?

The NPI number for Vine Discount Pharmacy & Medical Supply is 1023011053. It was assigned to this organization in the NPPES registry on May 23, 2005.

Where is Vine Discount Pharmacy & Medical Supply located?

Vine Discount Pharmacy & Medical Supply is located at 1253 N Vine St Ste 11, Los Angeles, CA 90038. The listed phone number is (323) 957-9446.

What is Vine Discount Pharmacy & Medical Supply's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Vine Discount Pharmacy & Medical Supply hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2153862) is associated with this NPI, valid through August 30, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Vine Discount Pharmacy & Medical Supply accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Vine Discount Pharmacy & Medical Supply as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vine Discount Pharmacy & Medical Supply was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.