Rose City Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

ROSE CITY PHARMACY

Practice address

1125 NE 99TH Ave
Portland, OR 97220-9428

Phone

(503) 254-7383

Fax

(503) 254-4568

NPI assigned

Dec 27, 2006

Organization subpart

No

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

(503) 254-7383

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 1

• Gateway Medical Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

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.

• Rose City Pharmacy LTC

  • Long Term Care Pharmacy
  • Portland, OR
  • NPI 1205477312
  NPD tax ID

Locations

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1275698458",
    "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": "972209428",
            "telephone_number": "503-254-7383",
            "fax_number": "503-254-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "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": "503-254-7383",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2161521",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "170080",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gateway Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gateway Medical Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rose City Medical LLC
• Rose City Park Acupuncture
• Rose City Pediatrics and Urgent Care, LLC
• Rose City Pediatrics LLC
• Rose City Pelvic Health, LLC
• Rose City Pharmacy LTC
• Rose City Physical Therapy Associates, LLC
• Rose City Physical Therapy Associates, LLC
• Rose City Physical Therapy Associates, LLC
• Rose City Psychological Center LLC

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• 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.
• 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.