Organization Active NPI

Cygni RX Inc

Doing business as DBA: Sugarbeats Pharmacy

  • Long Term Care Pharmacy
  • Fountain Valley, CA
National Provider Identifier
1174997530
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CYGNI RX INC
Doing business as
DBA: Sugarbeats Pharmacy
Practice address
11190 Warner Ave Ste 111
Fountain Valley, CA 92708-4028
Phone
(714) 884-4732
Fax
(714) 884-4830
NPI assigned
Nov 23, 2015
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith Sacdalan Francisco
Title
Ceo/President
Phone
(951) 378-6444

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

11190 Warner Ave Ste 111
Fountain Valley, CA 92708-4028

Mailing address

3121 W Coast Hwy Apt 6D
Newport Beach, CA 92663-4071
Phone (951) 378-6444

Other identifiers 1

IdentifierTypeStateIssuer
2168926OtherPK

Other names 1

  • DBA: Sugarbeats Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220829000834 CA Part B Supplier - Mass Immunization (Roster Biller Only) 5890116081 Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1174997530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 W COAST HWY APT 6D",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926634071",
            "telephone_number": "951-378-6444",
            "fax_number": "714-884-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11190 WARNER AVE STE 111",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084028",
            "telephone_number": "714-884-4732",
            "fax_number": "714-884-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYGNI RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2023-03-07",
        "certification_date": "2020-06-18",
        "status": "A",
        "authorized_official_last_name": "FRANCISCO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "SACDALAN",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "951-378-6444"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2168926",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA: Sugarbeats Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.