Organization Active NPI

RBF LLC

  • Community/Retail Pharmacy
  • Apple Valley, MN
National Provider Identifier
1457409716
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
262516 Issued in MN
Legal business name
RBF LLC
Practice address
15125 Cedar Ave
Apple Valley, MN 55124-7111
Phone
(952) 431-9774
Fax
(952) 997-4685
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 262516 MN Primary

Addresses

Primary practice location

15125 Cedar Ave
Apple Valley, MN 55124-7111

Mailing address

PO Box 473
Ms 2870
Milwaukee, WI 53201-0473

Other identifiers 2

IdentifierTypeStateIssuer
2426446OtherNCPDP PROVIDER IDENTIFICATION NUMBER
285412100MedicaidMN

Other names 1

  • RAINBOW PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member of 1

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

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363737600000",
    "number": "1457409716",
    "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": "15125 CEDAR AVE",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247111",
            "telephone_number": "952-431-9774",
            "fax_number": "952-997-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RBF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2013-03-20",
        "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": "262516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2426446",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "285412100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.