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PAVEL PETRUSHENKO
NPI 1154932010
Pharmacist in Farragut, TN

Active since August 13, 2020
11927 KINGSTON PIKE, FARRAGUT, TN 37934(865) 671-0932(865) 671-0964 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pavel Petrushenko NPPES

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

PAVEL PETRUSHENKO (NPI 1154932010) is an individual pharmacist in Farragut, Tennessee, licensed in Tennessee (39648) and active in the NPI registry since August 2020.

NPPES Registry Identity

NPI1154932010
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NamePAVEL PETRUSHENKO
Location Address11927 KINGSTON PIKEFarragut, TN 37934-4602
Mailing Address1260 Queenstown Way Apt 103Knoxville, TN 37932-3183 · (814) 722-5475
Phone(865) 671-0932
Fax(865) 671-0964
Sole ProprietorNo
Enumeration DateAugust 13, 2020
NPPES CertifiedAugust 13, 2020
✔ NPI 1154932010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in TN · 39648
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
11927 KINGSTON PIKE, Farragut, TN 37934
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Other Providers at the Same Location NPPES 6

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

RANDY STIFFIN RPH
Pharmacist
11927 KINGSTON PIKE
KNOXVILLE, TN 37934
Knox County (865) 671-0932
ETHAN LEE KIRBY PHARMD
Pharmacist
11927 KINGSTON PIKE
FARRAGUT, TN 37934
Knox County (865) 671-0932
JERRY PHILLIP DEBUHR JR. DPH
Pharmacist
11927 KINGSTON PIKE
KNOXVILLE, TN 37934
Knox County (865) 671-0932
DR. KATHLIN LANGSTON GAILLARD PHARM. .D
Pharmacist
11927 KINGSTON PIKE
KNOXVILLE, TN 37934
Knox County (865) 671-0932
WALGREEN CO
Pharmacy
11927 KINGSTON PIKE
KNOXVILLE, TN 37934
Knox County (865) 671-0932
YASHAR TALEB-HAGHIPOOR
Pharmacist
11927 KINGSTON PIKE
FARRAGUT, TN 37934
Knox County (865) 671-0932

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 Pavel Petrushenko's NPI number?

The NPI number for Pavel Petrushenko is 1154932010. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Pavel Petrushenko located?

Pavel Petrushenko practices at 11927 Kingston Pike, Farragut, TN 37934. The listed phone number is (865) 671-0932.

What is Pavel Petrushenko's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Pavel Petrushenko was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.