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KEVIN T PETTENON
NPI 1881941573
Pharmacist in Flushing, NY

Active since August 13, 2012
5645 MAIN ST, FLUSHING, NY 11355(718) 670-1040 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin T Pettenon NPPES

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

KEVIN T PETTENON (NPI 1881941573) is an individual pharmacist in Flushing, New York, licensed in New York (057094) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1881941573
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameKEVIN T PETTENON
Location Address5645 MAIN STFlushing, NY 11355
Mailing Address5645 Main StFlushing, NY 11355 · (718) 670-1040
Phone(718) 670-1040
Sole ProprietorNo
Enumeration DateAugust 13, 2012
Last NPPES UpdateJune 24, 2013
✔ NPI 1881941573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in NY · 057094
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.
5645 MAIN ST, Flushing, NY 11355
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Other Providers at the Same Location NPPES 20

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

ANA M GHELECHKHANI PA
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2608
PEDRO XAVIER PALACIOS PA-C
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1000
DR. OSCAR ROLDAN
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Queens County (646) 962-9930
ALEXIS TORRES RODRIGUEZ
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-1507
DR. BRENT HOCHSTEIN DO
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
DR. PRINCIE NANDINI ROY MD
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
ERIC CHROSTOWSKI
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Queens County (718) 670-2000
PETER JAESUNG JO
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355
Queens County (917) 340-4637

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 Kevin Pettenon's NPI number?

The NPI number for Kevin Pettenon is 1881941573. It was assigned to this individual provider in the NPPES registry on August 13, 2012.

Where is Kevin Pettenon located?

Kevin Pettenon practices at 5645 Main St, Flushing, NY 11355. The listed phone number is (718) 670-1040.

What is Kevin Pettenon'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 Kevin Pettenon was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.