FAGEN PHARMACY 15
NPI 1861413189
Pharmacy - Long Term Care Pharmacy in Mokena, IL

Q: What is Fagen Pharmacy 15's NPI number?

The NPI number for Fagen Pharmacy 15 is 1861413189. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Demotte Drugs Inc.

Q: What is Fagen Pharmacy 15's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Q: When was this NPI record last updated?

The NPPES record for Fagen Pharmacy 15 was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since July 21, 2006

11112 FRONT ST, MOKENA, IL 60448(708) 479-9333(708) 479-5633 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

On this page

About Fagen Pharmacy 15 NPPES

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

FAGEN PHARMACY 15 (NPI 1861413189), doing business as Demotte Drugs Inc, is a healthcare organization registered as a long term care pharmacy in Mokena, Illinois and active in the NPI registry since July 2006. The organization lists Larry Wojcik, 3rd Party Coord, as its authorized official.

NPPES Registry Identity

NPI1861413189

Entity TypeOrganization

Primary Taxonomy3336L0003X

Legal Business NameFAGEN PHARMACY 15

Location Address11112 FRONT STMokena, IL 60448-1562

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

Phone(708) 479-9333

Fax(708) 479-5633

Organization SubpartNo

Authorized OfficialLarry Wojcik3rd Party Coord · (219) 987-6468

Enumeration DateJuly 21, 2006

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1861413189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers

Taxonomy Code3336L0003X

Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 54014975 (IL)

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Mail Order PharmacyTaxonomy 3336M0002X

Other Names 1

Doing Business AsDemotte Drugs Inc

Other Identifiers 1

Other1475880Other Id Number-commercial Number

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 Fagen Pharmacy 15's NPI number?

The NPI number for Fagen Pharmacy 15 is 1861413189. It was assigned to this organization in the NPPES registry on July 21, 2006. The provider is doing business as Demotte Drugs Inc.

Where is Fagen Pharmacy 15 located?

Fagen Pharmacy 15 is located at 11112 Front St, Mokena, IL 60448. The listed phone number is (708) 479-9333.

What is Fagen Pharmacy 15's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Fagen Pharmacy 15 was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.