Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Rock Valley Compounding Pharmacy LLC

Organization Pharmacy · NPI 1376802462

Rock Valley Compounding Pharmacy LLC is a Pharmacy in Rockford, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

811 S Perryville Rd Unit 109
Rockford, IL 61108-4323
Phone: (779) 423-0542
Fax: (779) 545-2277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Compounding Pharmacy (primary) Taxonomy 3336C0004X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X · Licence 054018235 (IL)

Record details

NPI number1376802462
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jonathan Lehan — Pharmacist In Charge · (779) 423-0542
Other names Rock Valley Compounding Pharmacy Llc; Rock Valley Compounding Pharmacy Llc
NPI enumeratedMay 9, 2012
Last updated in NPPESAugust 4, 2022
Certification dateAugust 4, 2022
Mailing address811 S Perryville Rd Unit 109, Rockford, IL 61108-4323

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