ROSE CITY PHARMACY NPI 1275698458

NPI Information

  • NPI: 1275698458
  • Provider Name: ROSE CITY PHARMACY
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • :
  • Address: 1125 NE 99TH AVE
    PORTLAND, OR
    ZIP 97220
  • Phone: (503) 254-7383

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NPI Details

ROSE CITY PHARMACY is a community/retail pharmacy pharmacy in Portland, OR. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. ROSE CITY PHARMACY NPI is 1275698458. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1125 NE 99TH AVE
PORTLAND, OR
ZIP 97220-428
Phone: (503) 254-7383
Fax: (503) 254-4568

The provider's authorized official is Haaris Uddin .
The authorized official title is Cfo and has the following contact phone number (503) 254-7383.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)

The enumeration date for this NPI number is 12/27/2006 and was last updated on 2/23/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336L0003XPharmacyLong Term Care PharmacyNo
23336C0004XPharmacyCompounding PharmacyNo
33336M0002XPharmacyMail Order PharmacyNo
4333600000XPharmacyNo
53336C0003XPharmacyCommunity/Retail PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12161521MEDICAIDWASHINGTON
2170080MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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