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GREEN CLINIC LLC
NPI 1275632036
Pharmacy - Community/Retail Pharmacy in Ruston, LA

Active since September 21, 2006CLIA Certified · 6 labs
1200 S FARMERVILLE ST, RUSTON, LA 71270(318) 251-6337(318) 251-6334 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2025, Jul 19, 2018, Jun 1, 2017 and 2 more (5 updates tracked since 2016).

About Green Clinic Llc NPPES

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

GREEN CLINIC LLC (NPI 1275632036), doing business as Green Clinic Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Ruston, Louisiana and active in the NPI registry since September 2006. The organization holds 6 active CLIA laboratory certificates and lists Mary Crowe, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1275632036
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN CLINIC LLC
Location Address1200 S FARMERVILLE STRuston, LA 71270-5941
Mailing Address1200 South Farmerville StreetRuston, LA 71270 · (318) 251-6337 · Fax (318) 251-6334
Phone(318) 251-6337
Fax(318) 251-6334
Organization SubpartNo
Authorized OfficialMary CrowePharmacy Director · (318) 251-6337
Enumeration DateSeptember 21, 2006
Last NPPES UpdateSeptember 19, 20255 updates tracked since enumeration
✔ NPI 1275632036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in LA · PHY.005703-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 ListedPharmacyTaxonomy 333600000X
1200 S FARMERVILLE ST, Ruston, LA 71270
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Other Names 1

Doing Business AsGreen Clinic Pharmacy

Other Identifiers 2

Medicaid1234532LA
Other2035421Pk

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 6

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 19D2102280

Green Clinic Physical Medicine & Rehabilitation · Ruston, LA
Active · expires Sep 17, 2027
CLIA Number19D2102280
Laboratory TypePhysician Office
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorSharma Navneet
Laboratory Phone(318) 251-6372
Laboratory LocationGreen Clinic Physical Medicine & Rehabilitation1200 S Farmerville St, Ruston, LA 71270
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2075335

Green Clinic Urology · Ruston, LA
Active · expires Dec 31, 2026
CLIA Number19D2075335
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorRaymond Germany
Laboratory Phone(318) 251-6361
Laboratory LocationGreen Clinic Urology1200 South Farmerville Street, Ruston, LA 71270
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 19D2107593

Green Clinic-Landon Smith, MD · Ruston, LA
Active · expires Mar 14, 2028
CLIA Number19D2107593
Laboratory TypePhysician Office
Certificate Effective DateMarch 15, 2026
Certificate Expiration DateMarch 14, 2028
Laboratory DirectorLandon C. Smith
Laboratory Phone(318) 225-9414
Laboratory LocationGreen Clinic-Landon Smith, MD411 East Vaughn, Suite 103, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Compliance 19D2028358

Green Clinic Mohs Laboratory · Ruston, LA
Active · expires Jun 12, 2027
CLIA Number19D2028358
Laboratory TypePhysician Office
Certificate Effective DateJune 13, 2025
Certificate Expiration DateJune 12, 2027
Laboratory DirectorJoshua C. Mandrell
Laboratory Phone(318) 251-6376
Laboratory LocationGreen Clinic Mohs Laboratory1200 S Farmerville Hwy, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 19D2321927

Green Clinic Surgery · Ruston, LA
Active · expires Apr 12, 2027
CLIA Number19D2321927
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2025
Certificate Expiration DateApril 12, 2027
Laboratory DirectorMollie Devening
Laboratory Phone(318) 254-2469
Laboratory LocationGreen Clinic Surgery411 E Vaughn Suite 200, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 19D2015919

Green Clinic Main · Ruston, LA
Active · expires Nov 7, 2026
CLIA Number19D2015919
Laboratory TypePhysician Office
Certificate Effective DateNovember 8, 2024
Certificate Expiration DateNovember 7, 2026
Laboratory DirectorJonathan C. Baines
Laboratory Phone(318) 251-6108
Laboratory LocationGreen Clinic Main1200 Celebrity Dr, Ruston, LA 71270
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

PAUL M NOVAKOVICH MD
Orthopaedic Surgery
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
MEGAN DANIELLE BAKER DPT
Physical Medicine & Rehabilitation
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 251-6373
ERIN LANCASTER FNP-C
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
MR. ROBERT HARPER M.D.
Obstetrics & Gynecology
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
MR. GEORGE B SMITH M.D.
Internal Medicine (Cardiovascular Disease)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
ASHLEY BENNETT WALPOLE FNP-C
Nurse Practitioner (Family)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
MR. DEREK R MCCLUSKY M.D.
Surgery
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690
DR. RONALD ANDERS M.D.
Obstetrics & Gynecology (Gynecology)
1200 S FARMERVILLE ST
RUSTON, LA 71270
Lincoln Parish (318) 255-3690

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 Green Clinic LLC's NPI number?

The NPI number for Green Clinic LLC is 1275632036. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Green Clinic Pharmacy.

Where is Green Clinic LLC located?

Green Clinic LLC is located at 1200 S Farmerville St, Ruston, LA 71270. The listed phone number is (318) 251-6337.

What is Green Clinic LLC's specialty?

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

Does Green Clinic LLC hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Green Clinic LLC 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 53 other insurers list Green Clinic LLC 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 Green Clinic LLC was last updated on September 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.