Vadim Zhuravenko, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26026838A Issued in IN

Practice address

1710 Apple Glen Blvd
Fort Wayne, IN 46804-1725

Phone

(260) 436-0113

NPI assigned

Oct 26, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hook-Superx LLC

  • Pharmacy
  • Churubusco, IN
  • NPI 1184727885
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1558088864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15030 JASMINE KEY CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468148975",
            "telephone_number": "224-305-4363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 APPLE GLEN BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468041725",
            "telephone_number": "260-436-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZHURAVENKO",
        "first_name": "VADIM",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26026838A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle L Zern, MA
• Donghong Zhang, MD
• Zhentao Zhang, M.D., PH.D.
• Zixuan Zhao
• Yi Zhuang, M.D.
• Moaz Bin Zia, MD
• Kaitlin Ziadeh
• Madison K Ziegel, AUD
• Rachel Renee Ziegler, FNP-BC
• Kristen L Ziel, PA-C

• Pharmacist in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Pharmacist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.