Vivawell Pharmacy Company
Pharmacy
72780 Country Club Dr, Ste 403, Rancho Mirage
California, 92270-4149
760-610-6512 Vivawell Pharmacy Company is a Pharmacy in Rancho Mirage, California. It is located at 72780 Country Club Dr, Ste 403, Rancho Mirage and it's customer support contact number is 760-610-6512. The authorized person of Vivawell Pharmacy Company is Jason Kiroyan who is Ceo/cfo/sec/dir of the pharmacy and his contact number is 909-647-7354. Vivawell Pharmacy Company accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Vivawell Pharmacy Company is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Vivawell Pharmacy Company type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Vivawell Pharmacy Company |
| Type: | Pharmacy |
| Location: | 72780 Country Club Dr, Ste 403, Rancho Mirage,
California, 92270-4149 |
| Phone: | 760-610-6512 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Jason Kiroyan |
| Position: | Ceo/cfo/sec/dir |
| Contact Number: | 909-647-7354 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1396107249 |
| NPI Enumeration Date: | 21 Mar, 2016 |
| NPI Last Update On: | 03 Oct, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Vivawell Pharmacy Company are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Oxygen Equipment & Supplies | | | Secondary | |
| Community/Retail Pharmacy | 54279 | California | Secondary | |
| Specialty Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1396107249 | Medicaid | California | |
| 2158852 | Other | | Pk |
Medicare Enrollment:
Vivawell Pharmacy Company is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6608162235 | O20160908001233 | Health Care Pioneers | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 72780 Country Club Dr, Ste 403
Rancho Mirage, California |
| Zip: | 92270-4149 |
| Phone Number: | 760-610-6512 |
| Fax Number: | 760-610-6981 |
Patients can reach Vivawell Pharmacy Company at
72780 Country Club Dr, Ste 403, Rancho Mirage, California or can
call on customer care at 760-610-6512.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.