OrganizationActive
Fagen Pharmacy 15
NPI 1861413189 · Long Term Care Pharmacy · Mokena, IL
Fagen Pharmacy 15 is a Long Term Care Pharmacy organization in Mokena, IL (NPI 1861413189).
Provider details
- NPI number
- 1861413189
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Larry Wojcik, 3rd Party Coord(219) 987-6468
- License
- 54014975 (IL)
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11112 Front St
Mokena, IL 60448-1562
Phone: (708) 479-9333
Fax: (708) 479-5633
Street-level locationGet directions
Mailing address
Fagen Pharmacy
Salt Lake City, UT 84109-9913
Other names (DBA / former)
- Doing business as
- Demotte Drugs Inc
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2025-09-11
Frequently asked questions
- What is Fagen Pharmacy 15's NPI number?
- Fagen Pharmacy 15's National Provider Identifier (NPI) is 1861413189, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fagen Pharmacy 15?
- Fagen Pharmacy 15 is classified in the NPPES registry as Long Term Care Pharmacy (Suppliers).
- Where is Fagen Pharmacy 15 located?
- Fagen Pharmacy 15's practice location on file with NPPES is 11112 Front St, Mokena, IL 60448-1562.
- What is Fagen Pharmacy 15's phone number?
- The practice phone number listed in the NPPES registry for Fagen Pharmacy 15 is (708) 479-9333.
- Who is the authorized official for Fagen Pharmacy 15?
- The authorized official listed on Fagen Pharmacy 15's NPPES record is Larry Wojcik, 3rd Party Coord. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fagen Pharmacy 15's NPI active?
- Yes — Fagen Pharmacy 15's NPI (1861413189) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.