Vivawell Pharmacy Company is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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