GREEN WAVE PHARMACY INC
NPI 1285671750
Pharmacy - Community/Retail Pharmacy in Clintwood, VA

Active since June 01, 2006
165 MCCLURE AVE, CLINTWOOD, VA 24228(276) 926-4733(276) 926-5137 Get Directions Write a Review

NPPES record last updated: August 5, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Wave Pharmacy Inc NPPES

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

GREEN WAVE PHARMACY INC (NPI 1285671750) is a healthcare organization registered as a community/retail pharmacy in Clintwood, Virginia and active in the NPI registry since June 2006. The organization lists Sheryl Dawn Pientka, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1285671750
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameGREEN WAVE PHARMACY INC
Location Address165 MCCLURE AVEClintwood, VA 24228-6845
Mailing Address165 Mcclure Ave, Po Box 1310Clintwood, VA 24228-6845 · (276) 926-4733 · Fax (276) 926-5137
Fax(276) 926-5137
Organization SubpartNo
Authorized OfficialSheryl Dawn PientkaPharmacist In Charge · (276) 926-4733
Enumeration DateJune 1, 2006
Last NPPES UpdateAugust 5, 2008
NPI 1285671750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in VA · 0201002056
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.
165 MCCLURE AVE, Clintwood, VA 24228

Other Identifiers 3

Medicare ID-Type Unspecified1140100001
Medicaid008514186VA
Other4818398Nabp

Accepted Insurance

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 Wave Pharmacy Inc's NPI number?

The NPI number for Green Wave Pharmacy Inc is 1285671750. It was assigned to this organization in the NPPES registry on June 1, 2006.

Where is Green Wave Pharmacy Inc located?

Green Wave Pharmacy Inc is located at 165 Mcclure Ave, Clintwood, VA 24228. The listed phone number is (276) 926-4733.

What is Green Wave Pharmacy Inc's specialty?

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

What insurance does Green Wave Pharmacy Inc accept?

Health plans from Medica and Moda Health Plan, Inc. list Green Wave Pharmacy Inc 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 Wave Pharmacy Inc was last updated on August 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.