NPIMap

Organization Active NPI

Rose City Pharmacy LTC

Doing business as Gateway Medical Pharmacy LTC

  • Long Term Care Pharmacy
  • Portland, OR
National Provider Identifier
1205477312
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
ROSE CITY PHARMACY LTC
Doing business as
Gateway Medical Pharmacy LTC
Practice address
1125 NE 99TH Ave
Portland, OR 97220
Phone
(503) 254-7383
Fax
(503) 254-4568
NPI assigned
Oct 1, 2019
Last updated
Feb 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Haaris Uddin, CFO
Title
Cfo
Phone
(204) 478-5609

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

1125 NE 99TH Ave
Portland, OR 97220

Mailing address

1125 NE 99TH Ave
Portland, OR 97220-9428
Phone (503) 254-7383

Other names 1

  • Gateway Medical Pharmacy LTC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gateway Medical Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1569888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1205477312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972209428",
            "telephone_number": "503-254-7383",
            "fax_number": "503-254-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 NE 99TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97220",
            "telephone_number": "503-254-7383",
            "fax_number": "503-254-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY PHARMACY LTC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "UDDIN",
        "authorized_official_first_name": "HAARIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "204-478-5609",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; 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.