Pavel Petrushenko

Pharmacist · Farragut, TN

Individual Active NPI

NPI number 1154932010

Practice location

11927 Kingston Pike
Farragut, TN 37934-4602
Phone
(865) 671-0932
Fax
(865) 671-0964

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NPI record

NPI
1154932010
Entity type
Individual (Type 1)
Enumeration date
August 13, 2020
Last updated
August 13, 2020
Certified
August 13, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pharmacist Primary 183500000X 39648 TN

Mailing address

1260 Queenstown Way Apt 103
Knoxville, TN 37932-3183
Phone
(814) 722-5475

About Pavel Petrushenko

Pavel Petrushenko is a healthcare provider registered in the NPI registry with the primary taxonomy Pharmacist (code 183500000X). The practice location is 11927 Kingston Pike, Farragut, TN 37934-4602. The NPI number 1154932010 was assigned on August 13, 2020 and the record was last updated on August 13, 2020.

Pavel Petrushenko lists a license in the registry: #39648 (TN) for Pharmacist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Pavel Petrushenko?

The NPI number is 1154932010.

What is the phone number of Pavel Petrushenko?

The phone number listed for the practice location is (865) 671-0932.

Where is Pavel Petrushenko located?

11927 Kingston Pike, Farragut, TN 37934-4602.

What is the taxonomy code for Pavel Petrushenko?

The primary taxonomy code is 183500000X – Pharmacist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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