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JAVON BEA HOSPITAL
NPI 1144790791
Pharmacy in Rockford, IL

Active since November 27, 2018CLIA 14D2156625 · Accreditation
8201 E RIVERSIDE BLVD STE 1022, ROCKFORD, IL 61114(815) 971-1100(815) 971-9084 Get Directions Write a Review

NPPES record last updated: June 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 10, 2025, Jul 24, 2019, Jul 10, 2019 and 2 more (5 updates tracked since 2018).

About Javon Bea Hospital NPPES

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

JAVON BEA HOSPITAL (NPI 1144790791), doing business as Mercyhealth Pharmacy - Riverside, is a healthcare organization registered as a pharmacy in Rockford, Illinois and active in the NPI registry since November 2018. The organization holds an CLIA Accreditation certificate valid through August 22, 2027 and lists Joseph D Malas, Cfo, as its authorized official.

NPPES Registry Identity

NPI1144790791
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameJAVON BEA HOSPITAL
Location Address8201 E RIVERSIDE BLVD STE 1022Rockford, IL 61114-2300
Mailing Address8201 E Riverside Blvd Ste 1022Rockford, IL 61114-2300 · (815) 971-1100 · Fax (815) 971-9084
Phone(815) 971-1100
Fax(815) 971-9084
Organization SubpartYesParent: Mercy Health Corporation
Authorized OfficialJoseph D MalasCfo · (815) 971-6738
Enumeration DateNovember 27, 2018
Last NPPES UpdateJune 10, 20255 updates tracked since enumeration
NPPES CertifiedJune 10, 2025
✔ NPI 1144790791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
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
8201 E RIVERSIDE BLVD STE 1022, Rockford, IL 61114
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Other Names 1

Doing Business AsMercyhealth Pharmacy - Riverside

Other Identifiers 3

Other7726440001IL · Il Medicare
Other054020724IL · Il State License
Other1494842Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc. and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 14D2156625

Javon Bea Hospital · Rockford, IL
Active · expires Aug 22, 2027
CLIA Number14D2156625
Laboratory TypeHospital
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorMichael H. Strassman
Laboratory Phone(815) 971-6393
Laboratory LocationJavon Bea Hospital8201 E Riverside Blvd, Rockford, IL 61114
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. EMEN SALAM PHARMD
Pharmacist (Ambulatory Care)
8201 E RIVERSIDE BLVD STE 1022
ROCKFORD, IL 61114
Winnebago County (815) 971-5353
ANNIE GAHL PHARMD
Pharmacist
8201 E RIVERSIDE BLVD STE 1022
ROCKFORD, IL 61114
Winnebago County (815) 971-1100
DR. REBECCA A SHERRY PHARMD
Pharmacist
8201 E RIVERSIDE BLVD STE 1022
ROCKFORD, IL 61114
Winnebago County (815) 971-1100

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 Javon Bea Hospital's NPI number?

The NPI number for Javon Bea Hospital is 1144790791. It was assigned to this organization in the NPPES registry on November 27, 2018. The provider is doing business as Mercyhealth Pharmacy - Riverside.

Where is Javon Bea Hospital located?

Javon Bea Hospital is located at 8201 E Riverside Blvd Ste 1022, Rockford, IL 61114. The listed phone number is (815) 971-1100.

What is Javon Bea Hospital's specialty?

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

Does Javon Bea Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D2156625) is associated with this NPI, valid through August 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Javon Bea Hospital accept?

Health plans from Alliant Health Plans, Inc., Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc. and Avera Health Plans and 31 other insurers list Javon Bea Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Javon Bea Hospital was last updated on June 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.