Javon Bea Hospital
NPI 1144790791ActiveOrganization· Pharmacy· Rockford, IL
Pharmacy in Rockford, Illinois, registered in NPPES in November 2018, part of Mercy Health Corporation. The authorized official on file is Joseph D. Malas, Cfo. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1144790791 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Health Corporation |
| NPI issued | Nov 27, 2018 |
| Last updated in NPPES | Jun 10, 2025 |
| Certified by provider | Jun 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (IL); Part B Supplier - Mass Immunization (Roster Biller Only) (IL) |
|---|
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