JAVON BEA HOSPITAL NPI 1144790791

NPI Information

  • NPI: 1144790791
  • Provider Name: JAVON BEA HOSPITAL
  • Classification: Pharmacy - 333600000X
  • Entity Type: Organization
  • :
  • CLIA Number: 14D2156625
  • Address: 8201 E RIVERSIDE BLVD STE 1022
    ROCKFORD, IL
    ZIP 61114
  • Phone: (815) 971-1100

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NPI Details

JAVON BEA HOSPITAL is a pharmacy in Rockford, IL. The provider is 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. JAVON BEA HOSPITAL NPI is 1144790791. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

8201 E RIVERSIDE BLVD STE 1022
ROCKFORD, IL
ZIP 61114-300
Phone: (815) 971-1100
Fax: (815) 971-9084

The provider's authorized official is Joseph D Malas .
The authorized official title is Cfo and has the following contact phone number (815) 971-6738.

The CLIA number assigned to this NPI record is 14D2156625 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/27/2018 and was last updated on 6/10/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17726440001OTHERILLINOISIL MEDICARE
2054020724OTHERILLINOISIL STATE LICENSE
31494842OTHERNCPDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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