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Javon Bea Hospital

NPI 1275344020ActiveOrganization· Pharmacy· Rockford, IL

Pharmacy in Rockford, Illinois, registered in NPPES in January 2025, part of Mercy Health Corporation. The authorized official on file is Shannon Dunphy-Alexander, Cfo. Enrolled in Medicare as dme supplier - pharmacy.

Overview

NPI1275344020
StatusActive
Entity typeOrganization (subpart)
Parent organizationMercy Health Corporation
NPI issuedJan 20, 2025
Last updated in NPPESApr 1, 2026
Certified by providerApr 1, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Pharmacy Primary333600000X——
Pharmacy, Community/Retail Pharmacy3336C0003X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled DME Supplier - Pharmacy (IL)

Medicare sources and data years

Other pharmacies in Rockford

All 22 pharmacies in Rockford · All pharmacies in Illinois