RBF LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2623168 Issued in MN

Legal business name

RBF LLC

Practice address

16401 County Road 30
Maple Grove, MN 55311-1209

Phone

(763) 416-1563

Fax

(763) 416-2769

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) 231-5000

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": "1372723200000",
    "number": "1376691634",
    "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": "16401 COUNTY ROAD 30",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553111209",
            "telephone_number": "763-416-1563",
            "fax_number": "763-416-2769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-07-02",
        "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": "414-231-5000"
    },
    "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": "2623168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2048440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "839607800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Ranallo, MSW, LICSW
• Angelily Jo Rasivong
• Stacy Rask, RM
• Matthew T Rasmussen, MD
• Cristal Mae Ratliff
• Erin Lisa Reberg, DNP, WHNP-BC
• Recovery Partners, PC at Maple Grove
• Amanda L Redepenning, M.A., L.M.F.T.
• Melissa Kae Redfield, CMT
• Susan Marie Redman

• Community/Retail Pharmacy in Maple Grove, MN
• Providers in Maple Grove, 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 Jul 2, 2013; 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.