Green Clinic LLC
Green Clinic LLC is a healthcare organization registered as Community/Retail Pharmacy in Ruston, LA, holding Type 2 (organization) NPI 1275632036 since 2006. The authorized official on file is Mary Crowe, Pharmacy Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1275632036 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Green Clinic LLC |
| Other name | <Unavail> |
| Practice address | 1200 S FARMERVILLE ST, Ruston, LA, 71270 |
| Phone | 3182516337 |
| Fax | 3182516334 |
| Enumeration date | 2006-09-21 |
| Last updated in NPPES | 2025-09-19 |
Authorized official
| Name | Mary Crowe |
|---|---|
| Title | Pharmacy Director |
| Phone | 3182516337 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Primary | PHY.005703-IR | LA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1234532 | Medicaid | LA | — |
| 2035421 | Other | — | PK |
Copy-ready billing details
Provider: Green Clinic LLC NPI: 1275632036 Taxonomy: 3336C0003X (Community/Retail Pharmacy) Address: 1200 S FARMERVILLE ST, Ruston, LA, 71270
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1831178755 | Green Clinic LLC | Organization | Family Medicine Physician | Ruston, LA |
| 1457330185 | Green Clinic LLC | Organization | Clinical Medical Laboratory | Ruston, LA |
| 1235109315 | Ronald Anders | Individual | Gynecology Physician | Ruston, LA |
| 1578533683 | Thomas Brantley | Individual | Family Medicine Physician | Ruston, LA |
| 1619947629 | Greene Butler | Individual | Surgery Physician | Ruston, LA |
| 1952371965 | Marlene Daher | Individual | Pediatrics Physician | Ruston, LA |
| 1689644585 | Terry Gardner | Individual | Family Medicine Physician | Ruston, LA |
| 1275503161 | Dean Kirby | Individual | Family Medicine Physician | Ruston, LA |
Verify this record
Cross-check NPI 1275632036 against the authoritative CMS record: view Green Clinic LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Green Clinic LLC?
Who is the authorized official for Green Clinic LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-19.