MEDICARE: JASON KIROYAN PHARMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	79355	CA

General Provider Information

NPI Number	:	1396210290
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JASON KIROYAN PHARMD

Provider Business Mailing Address
First Line	:	72780 COUNTRY CLUB DR STE 403
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4149
Country	:	US
Telephone Number	:	909-647-7354
Fax Number	:	760-610-6512

Provider Business Practice Location Address
First Line	:	72780 COUNTRY CLUB DR STE 403
Second Line	:
City	:	RANCHO MIRAGE
State	:	CA
Zip	:	92270-4149
Country	:	US
Telephone Number	:	909-647-7354
Fax Number	:	760-610-6512

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2018
Last Update Date	:	03/10/2026

Similar Medicare Providers

1477299527 — VIVAWELL PHARMACY COMPANY
Practice Location Address:

72780 COUNTRY CLUB DR STE 403
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-610-6512
Practice Fax: 760-610-6981

1821197377 — KIRONDA M OWENS-LEWIS MD
Practice Location Address:

72780 COUNTRY CLUB DR STE 305
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-837-8747
Practice Fax: 760-837-8749

1912160185 — TATE DE LEON MD
Practice Location Address:

72780 COUNTRY CLUB DR STE 305
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-837-8748
Practice Fax: 760-837-8749

1780911586 — DR. MARITZA DEL PILAR DE LA PENA MD
Practice Location Address:

72780 COUNTRY CLUB DR STE 305C
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-837-8748
Practice Fax: 760-837-8749

1750640694 — DR. ELLIE KHEIRKHAHI-LOVE
Practice Location Address:

72780 COUNTRY CLUB DR STE 402
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-836-1809
Practice Fax: 760-270-1941

1396107249 — VIVAWELL PHARMACY COMPANY
Practice Location Address:

72780 COUNTRY CLUB DR , STE 403
RANCHO MIRAGE, CA
92270-4149

Practice Phone: 760-610-6512
Practice Fax:

Directions to “ JASON KIROYAN PHARMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.