Clover Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

CLOVER PHARMACY LLC

Practice address

6170 Thornton Ave Ste E
Newark, CA 94560-3700

Phone

(206) 427-3587

NPI assigned

May 15, 2024

Last updated

May 15, 2024By 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 Man, PHARMDNPI 1598048621

Title

Owner

Phone

(206) 353-2333

Specialties & licenses 1

Addresses

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

  dba Clover Pharmacy

  • Community/Retail Pharmacy
  • Newark, CA
  • NPI 1740812155
  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": "1715731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1750130415",
    "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": "206-427-3587"
        },
        {
            "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": "206-427-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLOVER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MAN",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-353-2333",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Long Term Care Pharmacy in Newark, CA
• Providers in Newark, CA by specialty
• Long Term Care Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.