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CLOVER PHARMACY INC
NPI 1063518082
Pharmacy - Community/Retail Pharmacy in Walnut Creek, CA

Active since September 16, 2006
112 LA CASA VIA, STE 100, WALNUT CREEK, CA 94598(925) 939-6311(925) 939-5639 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Clover Pharmacy Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLOVER PHARMACY INC (NPI 1063518082) is a healthcare organization registered as a community/retail pharmacy in Walnut Creek, California and active in the NPI registry since September 2006. The organization lists Gerald Yu Tung, President, as its authorized official.

NPPES Registry Identity

NPI1063518082
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLOVER PHARMACY INC
Location Address112 LA CASA VIA, STE 100Walnut Creek, CA 94598-3091
Mailing Address112 La Casa Via, Ste 100Walnut Creek, CA 94598-3091 · (925) 939-6311 · Fax (925) 939-5639
Phone(925) 939-6311
Fax(925) 939-5639
Organization SubpartNo
Authorized OfficialGerald Yu TungPresident · (925) 939-6311
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJanuary 29, 2018
✔ NPI 1063518082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CA · PHY54381
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacyTaxonomy 333600000X
112 LA CASA VIA, Walnut Creek, CA 94598
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Other Identifiers 2

Other2159898Pk
Medicaid1063518082CA

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAYMOND S. RUZICANO, M.D.INC
Psychiatry & Neurology (Psychiatry)
112 LA CASA VIA, SUITE 345
WALNUT CREEK, CA 94598
Contra Costa County (925) 943-1400
DEBORAH L. KERLIN, M.D., INC.
Surgery
112 LA CASA VIA, SUITE 340
WALNUT CREEK, CA 94598
Contra Costa County (925) 945-7600
JOHN FREDERICK RIEDEL MD
Ophthalmology
112 LA CASA VIA, #260
WALNUT CREEK, CA 94598
Contra Costa County (925) 934-6300
ROBERT W DAVIES MD
Internal Medicine (Nephrology)
112 LA CASA VIA, SUITE 210
WALNUT CREEK, CA 94598
Contra Costa County (925) 944-0351
CAROL ROGERS DIRAIMONDO MD
Internal Medicine (Nephrology)
112 LA CASA VIA, STE 210
WALNUT CREEK, CA 94598
Contra Costa County (925) 944-0351
MRS. DEBRA ANN KLEIN RNC, MSN, NP
Clinical Nurse Specialist (Women's Health)
112 LA CASA VIA, SUITE 130
WALNUT CREEK, CA 94598
Contra Costa County (925) 937-0995
DR. BRIM AARON MCMILLAN-GORDON DPM
Podiatrist
112 LA CASA VIA, STE #110
WALNUT CREEK, CA 94598
Contra Costa County (925) 935-8255
THERESA RUNYON RN NP
Registered Nurse
112 LA CASA VIA, STE 210
WALNUT CREEK, CA 94598
Contra Costa County (925) 944-0351

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clover Pharmacy Inc's NPI number?

The NPI number for Clover Pharmacy Inc is 1063518082. It was assigned to this organization in the NPPES registry on September 16, 2006.

Where is Clover Pharmacy Inc located?

Clover Pharmacy Inc is located at 112 La Casa Via Ste 100, Walnut Creek, CA 94598. The listed phone number is (925) 939-6311.

What is Clover Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Clover Pharmacy Inc was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.