RBF LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

262624 Issued in MN

Legal business name

RBF LLC

Doing business as

RAINBOW PHARMACY

Practice address

17756 Kenwood TRL
Lakeville, MN 55044-9454

Phone

(952) 898-4505

Fax

(952) 898-6361

NPI assigned

Jan 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Edward Kitz

Title

GVP - Legal Risk & Treasury

Phone

(414) 231-5904

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RAINBOW PHARMACY Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Roundys Supermarkets Inc

  • Community/Retail Pharmacy
  • Brown Deer, WI
  • NPI 1023280567

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1275681538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 473",
            "address_2": "MS 2870",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532010473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17756 KENWOOD TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449454",
            "telephone_number": "952-898-4505",
            "fax_number": "952-898-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KITZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "GVP - LEGAL RISK & TREASURY",
        "authorized_official_telephone_number": "414-231-5904"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MN",
            "license": "262624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "996412600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Greg C Randall, MD
• Kahle Randall
• Ethan Rekedal, DPT
• Kali Jade Rencountre
• Jonah Mitchell Resnick, O.D.
• Restwell Mattress Company
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• Community/Retail Pharmacy in Lakeville, MN
• Providers in Lakeville, MN by specialty
• Community/Retail Pharmacy in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.