IndividualActive
Pavel Petrushenko
NPI 1154932010 · Pharmacist · Farragut, TN
Pavel Petrushenko is a Pharmacist provider in Farragut, TN (NPI 1154932010).
Provider details
- NPI number
- 1154932010
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 39648 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11927 Kingston Pike
Farragut, TN 37934-4602
Phone: (865) 671-0932
Fax: (865) 671-0964
Street-level locationGet directions
Mailing address
1260 Queenstown Way Apt 103
Knoxville, TN 37932-3183
Registry dates
- Enumerated
- 2020-08-13
- Last updated
- 2020-08-13
- Certified
- 2020-08-13
Frequently asked questions
- What is Pavel Petrushenko's NPI number?
- Pavel Petrushenko's National Provider Identifier (NPI) is 1154932010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Pavel Petrushenko's specialty?
- Pavel Petrushenko is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Pavel Petrushenko located?
- Pavel Petrushenko's practice location on file with NPPES is 11927 Kingston Pike, Farragut, TN 37934-4602.
- What is Pavel Petrushenko's phone number?
- The practice phone number listed in the NPPES registry for Pavel Petrushenko is (865) 671-0932.
- Is Pavel Petrushenko's NPI active?
- Yes — Pavel Petrushenko's NPI (1154932010) is active in the NPPES registry as of the last update on 2020-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.