Rainbow Drug Store, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

004743 Issued in GA

Legal business name

RAINBOW DRUG STORE, INC.

Practice address

4319 New Jesup Highway
Brunswick, GA 31520-1605

Phone

(912) 265-5040

Fax

(912) 265-1893

NPI assigned

Feb 12, 2007

Last updated

Mar 25, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Griffis, R.PH.NPI 1073780110

Title

Ceo

Phone

(912) 265-5040

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Richard Daniel Griffis III, PHARM.D.

  • Pharmacist
  • Brunswick, GA
  • NPI 1073780110
  NPD Authorized official
• Brittany Rowland Crotty, PHARM.D.

  • Pharmacist
  • Brunswick, GA
  • NPI 1831328228
  NPD (past)
• Karen Jarocki

  • Pharmacist
  • Brunswick, GA
  • NPI 1780909390
  NPD (past)
• Jennifer Rogers Lewis, RPH

  • Pharmacist
  • Brunswick, GA
  • NPI 1346494812
  NPD (past)

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1700927647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 NEW JESUP HIGHWAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201605",
            "telephone_number": "912-265-5040",
            "fax_number": "912-265-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 NEW JESUP HIGHWAY",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201605",
            "telephone_number": "912-265-5040",
            "fax_number": "912-265-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW DRUG STORE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "GRIFFIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-265-5040",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "PHRE004743",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "004743",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "GA",
            "license": "PHRE004743",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000033844A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mary Florene Radke, RN, LWMC
• Andrew Rains, PHARM.D.
• Amanda Ralph, APRN
• Red River Healthcare Services LLC (Red River Homecare of the Golden Isles /Owner)
• Red River Healthcare Services LLC (Red River Homecare of the Golden Isles)
• Red River Homecare of the Golden Isles

• Community/Retail Pharmacy in Brunswick, GA
• Providers in Brunswick, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.