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ROSE CITY PHARMACY LTC
NPI 1205477312
Pharmacy - Long Term Care Pharmacy in Portland, OR

Active since October 01, 2019
1125 NE 99TH AVE, PORTLAND, OR 97220(503) 254-7383(503) 254-4568 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 25, 2022, Dec 2, 2019, Oct 1, 2019 (3 updates tracked since 2019).

About Rose City Pharmacy Ltc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSE CITY PHARMACY LTC (NPI 1205477312), doing business as Gateway Medical Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in Portland, Oregon and active in the NPI registry since October 2019. The organization lists Haaris Uddin, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205477312
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameROSE CITY PHARMACY LTC
Location Address1125 NE 99TH AVEPortland, OR 97220
Mailing Address1125 Ne 99th AvePortland, OR 97220-9428 · (503) 254-7383 · Fax (503) 254-4568
Phone(503) 254-7383
Fax(503) 254-4568
Organization SubpartNo
Authorized OfficialHaaris UddinCfo · (204) 478-5609
Enumeration DateOctober 1, 2019
Last NPPES UpdateFebruary 23, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2026
✔ NPI 1205477312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
1125 NE 99TH AVE, Portland, OR 97220
Open in Google Maps ↗

Other Names 1

Doing Business AsGateway Medical Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSE CITY PHARMACY
Pharmacy (Community/Retail Pharmacy)
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
KIM D WHEELER RPH
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
ROSE CITY CLINICAL SERVICES
General Practice
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
GAIL SANDRA SMITH RPH
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
ALISON KACHUCK PHARMD
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
DR. JEFFERY DALE FORTNER PHARM.D.
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383
DR. MARY CAO PHARMD
Pharmacist
1125 NE 99TH AVE
PORTLAND, OR 97220
Multnomah County (503) 254-7383

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rose City Pharmacy Ltc's NPI number?

The NPI number for Rose City Pharmacy Ltc is 1205477312. It was assigned to this organization in the NPPES registry on October 1, 2019. The provider is doing business as Gateway Medical Pharmacy LTC.

Where is Rose City Pharmacy Ltc located?

Rose City Pharmacy Ltc is located at 1125 NE 99th Ave, Portland, OR 97220. The listed phone number is (503) 254-7383.

What is Rose City Pharmacy Ltc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Rose City Pharmacy Ltc accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 14 other insurers list Rose City Pharmacy Ltc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rose City Pharmacy Ltc was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.