Organization · Type 2 NPI
Fagen Pharmacy 15
Long Term Care Pharmacy · Mokena, IL
NPI number
1861413189
Active
Practice location
11112 Front St
Mokena, IL 60448-1562
Fax (708) 479-5633
Mailing address
Fagen Pharmacy, PO Box 9830
Salt Lake City, UT 84109-9913
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pharmacy | 333600000X | 54014975 (IL) |
| Community/Retail Pharmacy | 3336C0003X | None listed |
| Long Term Care Pharmacy Primary | 3336L0003X | None listed |
| Mail Order Pharmacy | 3336M0002X | None listed |
Long Term Care Pharmacy: A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
About NPI 1861413189
Fagen Pharmacy 15's National Provider Identifier is 1861413189, issued on Jul 21, 2006. The primary taxonomy on file is Long Term Care Pharmacy (3336L0003X), and the practice location is in Mokena, IL. The record was last updated on Sep 11, 2025.