Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Pavel Petrushenko

Individual provider Pharmacist · NPI 1154932010

Pavel Petrushenko is a Pharmacist in Farragut, Tennessee. Licensed in Tennessee. Registered with an NPI since 2020.

Licensed in
TN
In the registry since
2020

Practice location Address checks out

11927 Kingston Pike
Farragut, TN 37934-4602
Phone: (865) 671-0932
Fax: (865) 671-0964
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 39648 (TN)

Record details

NPI number1154932010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 13, 2020
Last updated in NPPESAugust 13, 2020
Certification dateAugust 13, 2020
Mailing address1260 Queenstown Way Apt 103, Knoxville, TN 37932-3183

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