IndividualActive
Kevin Pettenon
NPI 1881941573 · Pharmacist · Flushing, NY
Kevin Pettenon is a Pharmacist provider in Flushing, NY (NPI 1881941573).
Provider details
- NPI number
- 1881941573
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 057094 (NY)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
5645 Main St
Flushing, NY 11355
Phone: (718) 670-1040
Street-level locationGet directions
Mailing address
5645 Main St
Flushing, NY 11355
Registry dates
- Enumerated
- 2012-08-13
- Last updated
- 2013-06-24
Frequently asked questions
- What is Kevin Pettenon's NPI number?
- Kevin Pettenon's National Provider Identifier (NPI) is 1881941573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kevin Pettenon's specialty?
- Kevin Pettenon is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kevin Pettenon located?
- Kevin Pettenon's practice location on file with NPPES is 5645 Main St, Flushing, NY 11355.
- What is Kevin Pettenon's phone number?
- The practice phone number listed in the NPPES registry for Kevin Pettenon is (718) 670-1040.
- Is Kevin Pettenon's NPI active?
- Yes — Kevin Pettenon's NPI (1881941573) is active in the NPPES registry as of the last update on 2013-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.