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

Organization subpart

No

Name

Connie Man, PHARMD

Title

Owner

Phone

(206) 353-2333

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

• Clover Pharmacy LLC

  • Community/Retail Pharmacy
  • Newark, CA
  • NPI 1740812155
  NPD tax ID

Tax ID family

Clover Pharmacy (2 organizations share this tax ID)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 15, 2024.

{
    "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
• Clover Pharmacy LLC
• Evelyn Schmechtig Cochran, LMFT
• Ronald Douglas Collett
• Julisa Colmenero Martinez
• Community Life Skills Agency
• Antonia Contreras

• All providers in Newark, CA
• 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.