1. Home
  2. Directory
  3. Louisiana
  4. Ruston
  5. Pharmacy
  6. NPI Profile

CLINIC PHARMACY
NPI 1053410811
Pharmacy - Community/Retail Pharmacy in Ruston, LA

Active since September 21, 2006
604 BELUE LN, SUITE A, RUSTON, LA 71270(318) 251-6385(318) 255-7530 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Clinic Pharmacy NPPES

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

CLINIC PHARMACY (NPI 1053410811) is a healthcare organization registered as a community/retail pharmacy in Ruston, Louisiana and active in the NPI registry since September 2006. The organization lists Jeffrey Bennett, Owner, as its authorized official.

NPPES Registry Identity

NPI1053410811
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameJAB CLINIC PHARMACY INC
Location Address604 BELUE LN, SUITE ARuston, LA 71270-3870
Mailing Address604 Belue Ln, Suite ARuston, LA 71270-3870 · (318) 251-6385 · Fax (318) 255-7530
Phone(318) 251-6385
Fax(318) 255-7530
Organization SubpartNo
Authorized OfficialJeffrey BennettOwner · (318) 251-6385
Enumeration DateSeptember 21, 2006
Last NPPES UpdateOctober 20, 2014
✔ NPI 1053410811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · PHY.003899-IR
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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
604 BELUE LN, Ruston, LA 71270
Open in Google Maps ↗

Other Names 1

Doing Business AsClinic Pharmacy

Other Identifiers 3

Medicare NSC4696220001
Medicaid1264784LA
Other2032265Pk

Other Providers at the Same Location NPPES 2

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

DR. RANDY WAYNE OWERS PHARMD
Pharmacist
604 BELUE LN
RUSTON, LA 71270
Lincoln Parish (318) 251-6385
DR. JEFFERY ALAN BENNETT PHARMD
Pharmacist
604 BELUE LN
RUSTON, LA 71270
Lincoln Parish (318) 251-6385

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 Jab Clinic Pharmacy Inc's NPI number?

The NPI number for Jab Clinic Pharmacy Inc is 1053410811. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Clinic Pharmacy.

Where is Jab Clinic Pharmacy Inc located?

Jab Clinic Pharmacy Inc is located at 604 Belue Ln Suite A, Ruston, LA 71270. The listed phone number is (318) 251-6385.

What is Jab Clinic 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 Jab Clinic Pharmacy Inc was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.