Green Wave Pharmacy Inc
Community/Retail Pharmacy
165 Mcclure Ave, Clintwood
Virginia, 24228-6845
276-926-4733 276-926-5137
Green Wave Pharmacy Inc is a Community/Retail Pharmacy in Clintwood, Virginia. It is located at 165 Mcclure Ave, Clintwood and it's customer support contact number is 276-926-4733. The authorized person of Green Wave Pharmacy Inc is Mrs. Sheryl Dawn Pientka, RPH who is Pharmacist In Charge of the pharmacy and her contact number is 276-926-4733. Active license number of Green Wave Pharmacy Inc is 0201002056 for Community/Retail Pharmacy in Virginia. Green Wave Pharmacy Inc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Green Wave Pharmacy Inc is 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.
Pharmacy Details:
Green Wave Pharmacy Inc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Green Wave Pharmacy Inc |
| Type: | Community/Retail Pharmacy |
| Location: | 165 Mcclure Ave, Clintwood,
Virginia, 24228-6845 |
| Phone: | 276-926-4733 |
| Fax: | 276-926-5137 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mrs. Sheryl Dawn Pientka |
| Credentials: | RPH |
| Position: | Pharmacist In Charge |
| Contact Number: | 276-926-4733 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1285671750 |
| NPI Enumeration Date: | 01 Jun, 2006 |
| NPI Last Update On: | 05 Aug, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Green Wave Pharmacy Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | 0201002056 | Virginia | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 4818398 | Other | | Nabp |
| 008514186 | Medicaid | Virginia | |
Medicare Enrollment:
Green Wave Pharmacy Inc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3375679855 | O20100414000249 | Green Wave Pharmacy Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3375679855 | O20100930003005 | Green Wave Pharmacy Inc | DME SUPPLIER - PHARMACY |
Products Available:
Green Wave Pharmacy Inc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Orthoses: Off-the-shelf |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 165 Mcclure Ave, Po Box 1310
Clintwood, Virginia |
| Zip: | 24228-6845 |
| Phone Number: | 276-926-4733 |
| Fax Number: | 276-926-5137 |
Patients can reach Green Wave Pharmacy Inc at
165 Mcclure Ave, Clintwood, Virginia or can
call on customer care at 276-926-4733.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.