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ROCK VALLEY COMPOUNDING PHARMACY LLC
NPI 1376802462
Pharmacy - Compounding Pharmacy in Rockford, IL

Active since May 09, 2012
811 S PERRYVILLE RD UNIT 109, ROCKFORD, IL 61108(779) 423-0542(779) 545-2277 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 4, 2022, May 20, 2016, Nov 18, 2015 (3 updates tracked since 2015).

About Rock Valley Compounding Pharmacy Llc NPPES

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

ROCK VALLEY COMPOUNDING PHARMACY LLC (NPI 1376802462) is a healthcare organization registered as a compounding pharmacy in Rockford, Illinois and active in the NPI registry since May 2012. The organization lists Jonathan M Lehan, Pharmacist In Charge, as its authorized official.

NPPES Registry Identity

NPI1376802462
Entity TypeOrganization
Primary Taxonomy3336C0004X
Legal Business NameROCK VALLEY COMPOUNDING PHARMACY LLC
Location Address811 S PERRYVILLE RD UNIT 109Rockford, IL 61108-4323
Mailing Address811 S Perryville Rd Unit 109Rockford, IL 61108-4323 · (779) 423-0542 · Fax (779) 545-2277
Phone(779) 423-0542
Fax(779) 545-2277
Organization SubpartNo
Authorized OfficialJonathan M LehanPharmacist In Charge · (779) 423-0542
Enumeration DateMay 9, 2012
Last NPPES UpdateAugust 4, 20223 updates tracked since enumeration
NPPES CertifiedAugust 4, 2022
✔ NPI 1376802462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Compounding PharmacySuppliers
Taxonomy Code3336C0004X
Definition
A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X · License 054018235 (IL)
811 S PERRYVILLE RD UNIT 109, Rockford, IL 61108
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Other Names 1

Doing Business AsRock Valley Compounding Pharmacy Llc

Other Identifiers 2

Other2135285Pk
Medicaid362674647002IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. JONATHAN M LEHAN PHARM.D
Pharmacist
811 S PERRYVILLE RD UNIT 109
ROCKFORD, IL 61108
Winnebago County (779) 423-0542
ROCK VALLEY COMPOUNDING PHARMACY, LLC
Pharmacy (Compounding Pharmacy)
811 S PERRYVILLE RD UNIT 109
ROCKFORD, IL 61108
Winnebago County (779) 423-0542

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 Rock Valley Compounding Pharmacy LLC's NPI number?

The NPI number for Rock Valley Compounding Pharmacy LLC is 1376802462. It was assigned to this organization in the NPPES registry on May 9, 2012.

Where is Rock Valley Compounding Pharmacy LLC located?

Rock Valley Compounding Pharmacy LLC is located at 811 S Perryville Rd Unit 109, Rockford, IL 61108. The listed phone number is (779) 423-0542.

What is Rock Valley Compounding Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Compounding Pharmacy, with taxonomy code 3336C0004X.

What insurance does Rock Valley Compounding Pharmacy LLC accept?

Health plans from Moda Health Plan, Inc. list Rock Valley Compounding Pharmacy LLC 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 Rock Valley Compounding Pharmacy LLC was last updated on August 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.