VIVAWELL PHARMACY COMPANY
NPI 1396107249
Pharmacy - Community/Retail Pharmacy in Rancho Mirage, CA

Active since March 21, 2016
72780 COUNTRY CLUB DR, STE 403, RANCHO MIRAGE, CA 92270(760) 610-6512 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2026, Feb 1, 2022, May 9, 2016 and 1 more (4 updates tracked since 2016).

About Vivawell Pharmacy Company NPPES

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

VIVAWELL PHARMACY COMPANY (NPI 1396107249), doing business as Vivarx, is a healthcare organization registered as a community/retail pharmacy in Rancho Mirage, California and active in the NPI registry since March 2016. The organization lists Jason Kiroyan, Ceo/cfo/sec/dir, as its authorized official.

NPPES Registry Identity

NPI1396107249
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVIVAWELL PHARMACY COMPANY
Location Address72780 COUNTRY CLUB DR, STE 403Rancho Mirage, CA 92270-4149
Mailing Address72780 Country Club Dr, Ste 403Rancho Mirage, CA 92270-4149 · (760) 610-6512 · Fax (760) 610-6981
Organization SubpartNo
Authorized OfficialJason KiroyanCeo/cfo/sec/dir · (909) 647-7354
Enumeration DateMarch 21, 2016
Last NPPES UpdateJune 9, 20264 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
NPI 1396107249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in CA · 54279
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 ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
72780 COUNTRY CLUB DR, Rancho Mirage, CA 92270

Other Names 2

Doing Business AsVivarx
Doing Business AsVivarx Pharmacy

Other Identifiers 2

Medicaid1396107249CA
Other2158852Pk

Accepted Insurance

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
72780 COUNTRY CLUB DR, SUITE 100
RANCHO MIRAGE, CA 92270
Physical Therapy Assistant
72780 COUNTRY CLUB DR, #C-300
RANCHO MIRAGE, CA 92270
Internal Medicine
72780 COUNTRY CLUB DR, SUITE 100
RANCHO MIRAGE, CA 92270
Dentist
72780 COUNTRY CLUB DR, SUITE # 402
RANCHO MIRAGE, CA 92270
Family Medicine
72780 COUNTRY CLUB DR, BLDG B 205-B
RANCHO MIRAGE, CA 92270
Specialist
72780 COUNTRY CLUB DR, SUITE D403
RANCHO MIRAGE, CA 92270
Physician Assistant
72780 COUNTRY CLUB DR, BLDG B 203
RANCHO MIRAGE, CA 92270
Physician Assistant
72780 COUNTRY CLUB DR, BLDG B 203
RANCHO MIRAGE, CA 92270

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 Vivawell Pharmacy Company's NPI number?

The NPI number for Vivawell Pharmacy Company is 1396107249. It was assigned to this organization in the NPPES registry on March 21, 2016. The provider is doing business as VivaRx and VivaRx Pharmacy.

Where is Vivawell Pharmacy Company located?

Vivawell Pharmacy Company is located at 72780 Country Club Dr Ste 403, Rancho Mirage, CA 92270. The listed phone number is (760) 610-6512.

What is Vivawell Pharmacy Company's specialty?

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

What insurance does Vivawell Pharmacy Company accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and Baylor Scott and White Health Plan and 25 other insurers list Vivawell Pharmacy Company 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 Vivawell Pharmacy Company was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.