Clover Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

CLOVER PHARMACY LLC

Doing business as

Clover Pharmacy

Practice address

6170 Thornton Ave Ste E
Newark, CA 94560-3700

Phone

(510) 961-1288

NPI assigned

Feb 5, 2020

Last updated

Aug 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie ManNPI 1598048621

Title

Owner

Phone

(510) 961-1288

Specialties & licenses 1

Addresses

Other names 2

• Clover Pharmacy Doing business as
• Connie Man Former legal business name

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Tax ID family

Clover Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clover Pharmacy LLC

  • Long Term Care Pharmacy
  • Newark, CA
  • NPI 1750130415
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Connie Man, PHARM.D.

  • Community/Retail Pharmacy
  • Newark, CA
  • NPI 1598048621
  Authorized official Same address or phone

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

{
    "created_epoch": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787788800000",
    "number": "1740812155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE STE E",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-961-1288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6170 THORNTON AVE STE E",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603700",
            "telephone_number": "510-961-1288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A",
        "authorized_official_last_name": "MAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-961-1288"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clover Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clover Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Connie Man",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stefanie T. Chu, MD
• Caleb Ian Chung, O.D.
• Edmond Chung
• Marilyn Cinollo
• City of Fremont (Bridgepoint High School - MacGregor)
• Clover Pharmacy LLC
• Evelyn Schmechtig Cochran, LMFT
• Ronald Douglas Collett
• Julisa Colmenero Martinez
• Community Life Skills Agency

• Community/Retail Pharmacy in Newark, CA
• Providers in Newark, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.