Entrectinib (ENB), a novel potent tyrosine kinase inhibitor, has demonstrated promising activity against specific genetic alterations in various solid tumors. Investigating the interaction of ENB with human serum albumin (HSA) provides valuable insights into its binding characteristics and pharmacological behavior. The interaction between ENB and HSA was investigated using various spectroscopic techniques, molecular docking, and simulations approaches. Fluorescence spectroscopy revealed a consistent decrease in the intrinsic fluorescence of HSA upon binding to ENB, indicating a static binding mechanism. The binding constant calculated from Stern Volmer and double-log equations (KSV) and (K) were determined to be 4.11 x104 M−1 and 4.38 x104 M−1, respectively at 298 K, indicating moderate binding affinity. Thermodynamic analysis demonstrated a spontaneous interaction (ΔG < 0) with an enthalpy change (ΔH) of −5.59 kJ mol−1 and an entropy change (ΔS) of + 70.36 J mol−1 K−1, indicating that the interaction is primarily driven by electrostatic forces with potential involvement of hydrogen bonding. Synchronous and 3D fluorescence analysis indicated no significant changes in the microenvironment surrounding Tyr and Trp residues upon ENB binding. Near and far UV spectrophotometric analyses confirmed the formation of the ENB-HSA complex and suggested no conformational changes in the protein structure. Fluorescence measurements and binding competition analysis using site markers revealed that ENB selectively binds to the HSA Sudlow sites I and III, displacing phenylbutazone at both sites. Molecular docking studies confirmed the binding of ENB to Sudlow sites I and III and identified critical residues involved in the interaction. Molecular dynamics simulations further validated the stability of the ENB-HSA complex at both sites, with more favorable binding at site III, and minimal fluctuations observed in the root mean square deviation, root mean square fluctuation, and radius of gyration. Hydrogen bond analysis and solvent accessible surface area calculations supported the strong binding and accessibility of ENB within the HSA structure. Overall, the experimental and computational results provided valuable insights into the ENB-HSA interaction, elucidating the binding mechanism and key residues involved.