OrganizationActiveAccepts Medicare
Clover Care Pharmacy Inc
NPI 1164042453 · Long Term Care Pharmacy · Los Angeles, CA
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1164042453
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Sang Lee, President/Pic(213) 384-8763
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
266 S Harvard Blvd Ste 140
Los Angeles, CA 90004-4389
Phone: (213) 384-8763
Fax: (213) 384-7521
Street-level locationGet directions
Mailing address
266 S Harvard Blvd Ste 140
Los Angeles, CA 90004-4389
Other names (DBA / former)
- Doing business as
- Clover Care Pharmacy Inc
- Doing business as
- Clover Care Pharmacy Inc
Registry dates
- Enumerated
- 2020-04-16
- Last updated
- 2020-04-21
- Certified
- 2020-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.