FAGEN PHARMACY 17 – Pharmacy, NPI 1770504094

FAGEN PHARMACY 17 is a healthcare provider. based in Salt lake city, Utah. specializing in Pharmacy. The organization holds a License No. 54014974 (IL). The NPI Number for FAGEN PHARMACY 17 is 1770504094

Main info

Organization
Name
FAGEN PHARMACY 17
NPI
1770504094
Phone
Not provided
Address
FAGEN PHARMACY
Authorized Official
CONNIE COFFER 3RD PARTY COORD
Enumeration Date
21 July 2006
Last Update Date
21 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness80
Years active:19State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for FAGEN PHARMACY 17

  • FAGEN PHARMACY

    PO BOX 9830

    SALT LAKE CITY, UT 841099913

    Phone:

    Type: Mailing

  • 4840, West Court Street, Monee, Will County, Illinois, 60449, United States

    MONEE, IL 604498988

    Phone: (708) 534-3343

    Fax: (708) 534-1638

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84109)

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Reviews

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Frequently asked questions

Is there an official ID for FAGEN PHARMACY 17 in U.S. healthcare records?
The official identifier for FAGEN PHARMACY 17 is NPI 1770504094.
Would FAGEN PHARMACY 17 appear as active to a payer?
You can treat FAGEN PHARMACY 17 as active for directory purposes; confirm clinical privileges separately.
What clinical focus is listed for FAGEN PHARMACY 17?
At a glance, FAGEN PHARMACY 17 is tied to Pharmacy. Clinical services aligned with this taxonomy classification.
Is FAGEN PHARMACY 17 located near Salt Lake City?
FAGEN PHARMACY 17 currently maps to Salt Lake City, Utah in this extract.
When was this NPI issued?
Enumeration for FAGEN PHARMACY 17 is noted as July 21, 2006 where the registry provides it.

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