FAGEN PHARMACY 17
NPI 1770504094
Pharmacy in Monee, IL

Q: What is Scholl Pharmacy Inc's NPI number?

The NPI number for Scholl Pharmacy Inc is 1770504094. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Fagen Pharmacy 17.

Q: What is Scholl Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since July 21, 2006

4840 W COURT ST, MONEE, IL 60449(708) 534-3343(708) 534-1638 Get Directions Write a Review

NPPES record last updated: May 21, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fagen Pharmacy 17 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAGEN PHARMACY 17 (NPI 1770504094) is a healthcare organization registered as a pharmacy in Monee, Illinois and active in the NPI registry since July 2006. The organization lists Connie Coffer, 3rd Party Coord, as its authorized official.

NPPES Registry Identity

NPI1770504094

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSCHOLL PHARMACY INC

Location Address4840 W COURT STMonee, IL 60449-8988

Mailing AddressFagen Pharmacy, Po Box 9830Salt Lake City, UT 84109-9913

Phone(708) 534-3343

Fax(708) 534-1638

Organization SubpartNo

Authorized OfficialConnie Coffer3rd Party Coord · (219) 987-6468

Enumeration DateJuly 21, 2006

Last NPPES UpdateMay 21, 2008

✔ NPI 1770504094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in IL · 54014974

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X

4840 W COURT ST, Monee, IL 60449

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Other Names 1

Doing Business AsFagen Pharmacy 17

Other Identifiers 4

Medicaid=========017IL

Other1475905Other Id Number-commercial Number

Medicare NSC4460500003IL

Medicare PIN251490IL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scholl Pharmacy Inc's NPI number?

The NPI number for Scholl Pharmacy Inc is 1770504094. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Fagen Pharmacy 17.

Where is Scholl Pharmacy Inc located?

Scholl Pharmacy Inc is located at 4840 W Court St, Monee, IL 60449. The listed phone number is (708) 534-3343.

What is Scholl Pharmacy Inc's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Scholl Pharmacy Inc was last updated on May 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.