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CLOVER CARE PHARMACY INC
NPI 1164042453
Pharmacy - Long Term Care Pharmacy in Los Angeles, CA

Active since April 16, 2020
266 S HARVARD BLVD STE 140, LOS ANGELES, CA 90004(213) 384-8763(213) 384-7521 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2020, Apr 16, 2020 (2 updates tracked since 2020).

About Clover Care Pharmacy Inc NPPES

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

CLOVER CARE PHARMACY INC (NPI 1164042453) is a healthcare organization registered as a long term care pharmacy in Los Angeles, California and active in the NPI registry since April 2020. The organization lists Sang J. Lee, President/pic, as its authorized official.

NPPES Registry Identity

NPI1164042453
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCLOVER CARE PHARMACY INC
Location Address266 S HARVARD BLVD STE 140Los Angeles, CA 90004-4389
Mailing Address266 S Harvard Blvd Ste 140Los Angeles, CA 90004-4389 · (213) 384-8763 · Fax (213) 384-7521
Phone(213) 384-8763
Fax(213) 384-7521
Organization SubpartNo
Authorized OfficialSang J. LeePresident/pic · (213) 384-8763
Enumeration DateApril 16, 2020
Last NPPES UpdateApril 21, 20202 updates tracked since enumeration
NPPES CertifiedApril 21, 2020
✔ NPI 1164042453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
266 S HARVARD BLVD STE 140, Los Angeles, CA 90004
Open in Google Maps ↗

Other Names 1

Doing Business AsClover Care Pharmacy Inc

Other Identifiers 1

Other57713CA · Board Of Pharmacy Permit

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 5

Medicare supplier enrollment and the product categories Clover Care Pharmacy Inc carries, from the Medicare DMEPOS supplier directory.

Clover Care Pharmacy Inc

DMEPOS supplier · Los Angeles, CA
✔

Accepts Medicare assignment

Clover Care Pharmacy Inc agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20407835
Medicare Participant SinceFebruary 1, 2021
Supplier Location266 S Harvard Blvd Ste 140Los Angeles, CA 90004
Phone(213) 384-8763
Supplier Specialties
Pharmacy

Medicare Product Categories

Epoetin
Epoetin is a man-made version of human erythropoietin (EPO)
Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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 Care Pharmacy Inc's NPI number?

The NPI number for Clover Care Pharmacy Inc is 1164042453. It was assigned to this organization in the NPPES registry on April 16, 2020.

Where is Clover Care Pharmacy Inc located?

Clover Care Pharmacy Inc is located at 266 S Harvard Blvd Ste 140, Los Angeles, CA 90004. The listed phone number is (213) 384-8763.

What is Clover Care Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Clover Care Pharmacy Inc accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Clover Care Pharmacy Inc accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Clover Care Pharmacy Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 42 other insurers list Clover Care Pharmacy Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clover Care Pharmacy Inc was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.