Vine Discount Pharmacy & Medical Supply in Los Angeles - Community/retail Pharmacy
Vine Discount Pharmacy & Medical Supply - NPI 1023011053
Vine Discount Pharmacy & Medical Supply is a Community/retail Pharmacy in Los Angeles, California. Vine Discount Pharmacy & Medical Supply practices all healthcare services and medical treatments related to Community/retail Pharmacy. The NPI Number for Vine Discount Pharmacy & Medical Supply is 1023011053. The last update date is 2023-03-07.
Vine Discount Pharmacy & Medical Supply's current location address is 1253 N Vine St, Los Angeles, California. You can contact this provider via phone number 3239579446 and fax number 3239579846. The mailing address for Vine Discount Pharmacy & Medical Supply is 1253 N Vine St, Los Angeles, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Vine Discount Pharmacy & Medical Supply |
|---|---|
| Address | 1253 N Vine St, Los Angeles, California |
| Phone Number | 3239579446 |
| Fax Number | 3239579846 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHARMACIST |
|---|---|
| Authorized Official Name | Papoyan Roseanne |
| Credentials | PHARM.D. |
| Telephone Number | 3239579446 |
NPI Number Detail
| NPI Number | 1023011053 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1253 N Vine St |
|---|---|
| City | Los Angeles |
| State | California (CA) |
| Post Code | 9003816620 |
| Phone Number | 3239579446 |
| Fax Number | 3239579846 |
Provider's Primary Taxonomy Detail
| Speciality | Community/retail Pharmacy |
|---|---|
| Taxonomy | 3336C0003X |
| Licence No | 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 pr |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54097 | CA | PHARMACIST-IN-CHARGE LIC# | |
| PHA465060 | CA | -- | |
| 5607489 | CA | NCPDP | |
| PHY46506 | CA | SITE PERMIT |
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What is the unique 10-digit identifier code assigned to Vine Discount Pharmacy & Medical Supply by the Centers for Medicare & Medicaid Services?
The Vine Discount Pharmacy & Medical Supply has been issued the NPI (National Provider Identifier) 1023011053 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Vine Discount Pharmacy & Medical Supply located?
The Vine Discount Pharmacy & Medical Supply is located at 1253 N Vine St, Los Angeles, CA 9003816620.
What is Vine Discount Pharmacy & Medical Supply's area of expertise and its corresponding taxonomy classification?
The Vine Discount Pharmacy & Medical Supply's field of specialization is Community/retail Pharmacy, and it falls under the taxonomy code 3336C0003X, which categorizes healthcare providers based on their areas of practice.
On what date did the Vine Discount Pharmacy & Medical Supply receive its 1023011053 assignment from the Centers for Medicare & Medicaid Services?
The Vine Discount Pharmacy & Medical Supply was assigned its 1023011053 by the Centers for Medicare & Medicaid Services on 2005-05-23.
As of what date was the information regarding Vine Discount Pharmacy & Medical Supply, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Vine Discount Pharmacy & Medical Supply, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-07.