Organization · Type 2 NPI

Javon Bea Hospital

Pharmacy · Rockford, IL

NPI number 1144790791 Active

Practice location

8201 E Riverside Blvd Ste 1022
Rockford, IL 61114-2300

Fax (815) 971-9084

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

Pharmacy: 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 lo…

3 other providers at this address

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NPI record

NPI: 1144790791
Entity type: Organization (Type 2)
Issued: Nov 27, 2018
Last updated: Jun 10, 2025
Status: Active
Subpart: Yes of Mercy Health Corporation

Other names

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Mercyhealth Pharmacy - Riverside · doing business as
Mercyhealth Pharmacy - Riverside · doing business as

Authorized official

Joseph D Malas
CFO
(815) 971-6738

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144790791

Javon Bea Hospital's National Provider Identifier is 1144790791, issued on Nov 27, 2018. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Rockford, IL. The record was last updated on Jun 10, 2025.