1. Home
  2. Directory
  3. California
  4. Newark
  5. Pharmacy
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CLOVER PHARMACY
NPI 1740812155
Pharmacy - Community/Retail Pharmacy in Newark, CA

Active since February 05, 2020CLIA 05D2207006 · Waiver
6170 THORNTON AVE STE E, NEWARK, CA 94560(510) 961-1288 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 20, 2024, Jun 4, 2021, Mar 27, 2021 and 2 more (5 updates tracked since 2020).

About Clover Pharmacy NPPES

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

CLOVER PHARMACY (NPI 1740812155) is a healthcare organization registered as a community/retail pharmacy in Newark, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through December 22, 2026 and lists Connie Man, Owner, as its authorized official.

NPPES Registry Identity

NPI1740812155
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCLOVER PHARMACY
Location Address6170 THORNTON AVE STE ENewark, CA 94560-3700
Mailing Address6170 Thornton Ave Ste ENewark, CA 94560-3700 · (510) 961-1288
Phone(510) 961-1288
Organization SubpartNo
Authorized OfficialConnie ManOwner · (510) 961-1288
Enumeration DateFebruary 5, 2020
Last NPPES UpdateJune 25, 20265 updates tracked since enumeration
NPPES CertifiedJune 25, 2026
✔ NPI 1740812155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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.
6170 THORNTON AVE STE E, Newark, CA 94560
Open in Google Maps ↗

Other Names 2

Doing Business AsClover Pharmacy
Former Legal Business NameConnie Man

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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2207006

Clover Pharmacy · Newark, CA
Active · expires Dec 22, 2026
CLIA Number05D2207006
Laboratory TypePharmacy
Certificate Effective DateDecember 23, 2024
Certificate Expiration DateDecember 22, 2026
Laboratory DirectorConnie Man Rph
Laboratory Phone(510) 961-1288
Laboratory LocationClover Pharmacy6170 Thornton Avenue Suite E, Newark, CA 94560
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
162 services160 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
157 services157 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
31 services31 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
20 services20 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
20 services20 patients

Other Providers at the Same Location NPPES 3

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

TANYA KIM
Pharmacist
6170 THORNTON AVE STE E
NEWARK, CA 94560
Alameda County (510) 961-1288
CONNIE MAN PHARM.D.
Pharmacy (Community/Retail Pharmacy)
6170 THORNTON AVE STE E
NEWARK, CA 94560
Alameda County (510) 961-1288
CLOVER PHARMACY LLC
Pharmacy (Long Term Care Pharmacy)
6170 THORNTON AVE STE E
NEWARK, CA 94560
Alameda County (206) 427-3587

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's NPI number?

The NPI number for Clover Pharmacy is 1740812155. It was assigned to this organization in the NPPES registry on February 5, 2020. The provider was formerly known as Connie Man.

Where is Clover Pharmacy located?

Clover Pharmacy is located at 6170 Thornton Ave Ste E, Newark, CA 94560. The listed phone number is (510) 961-1288.

What is Clover Pharmacy's specialty?

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

Does Clover Pharmacy hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2207006) is associated with this NPI, valid through December 22, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clover Pharmacy 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 48 other insurers list Clover Pharmacy 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 Pharmacy was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.