Organization Active NPI

Sun City Pharmacy

  • Long Term Care Pharmacy
  • Sun City, CA
National Provider Identifier
1598869547
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SUN CITY PHARMACY
Doing business as
Sun City Pharmacy
Practice address
27994 Bradley Rd
Ste D
Sun City, CA 92586-2240
Phone
(951) 679-6380
Fax
(951) 672-2261
NPI assigned
Sep 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jonathan Lo
Title
President and Owner
Phone
(951) 679-6380

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHY47298 CA
Community/Retail Pharmacy 3336C0003X
Home Infusion Therapy Pharmacy 3336H0001X
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

27994 Bradley Rd
Ste D
Sun City, CA 92586-2240

Mailing address

27994 Bradley Rd
Ste D
Sun City, CA 92586-2240

Other identifiers 2

IdentifierTypeStateIssuer
PHA472980MedicaidCA
5616620OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • SUN CITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

27994 Bradley Rd
Ste D
Sun City, CA 92586
Phone (951) 679-6380

NPI Registry JSON

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1598869547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "STE D",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27994 BRADLEY RD",
            "address_2": "STE D",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925862240",
            "telephone_number": "951-679-6380",
            "fax_number": "951-672-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUN CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PRESIDENT AND OWNER",
        "authorized_official_telephone_number": "951-679-6380"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY47298",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA472980",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "5616620",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.