Clover Care Pharmacy Inc
NPI 1164042453ActiveOrganization· Pharmacy, Long Term Care Pharmacy· Los Angeles, CA
Pharmacy, Long Term Care Pharmacy in Los Angeles, California, registered in NPPES in April 2020. The authorized official on file is Sang J. Lee, President/Pic. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1164042453 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 16, 2020 |
| Last updated in NPPES | Apr 21, 2020 |
| Certified by provider | Apr 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy, Long Term Care Pharmacy Primary | 3336L0003X | — | — |
| Pharmacy | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (CA); Part B Supplier - Mass Immunization (Roster Biller Only) (CA) |
|---|
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