Gateway Medical Pharmacy

LBN: Rose City Pharmacy
Gateway Medical Pharmacy is an health care organization with primary practice located at 1125 Ne 99Th Ave , Portland OR 97220-9428. The organization recently has 5 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Compounding Pharmacy, Suppliers / Long Term Care Pharmacy, Suppliers / Mail Order Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rose City Pharmacy can be contacted via phone (503) 254-7383, or through Cao, William via phone (503) 254-7383.

Contact Information

Primary practice address
1125 Ne 99Th Ave Portland OR 97220-9428
Phone: (503) 254-7383
Fax: (503) 254-4568
Website:
Map and Directions
Authorized official contact:
Name: Cao, William
Phone: (503) 254-7383

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Compounding Pharmacy 3336C0004X
Suppliers / Long Term Care Pharmacy 3336L0003X
Suppliers / Mail Order Pharmacy 3336M0002X

Profile Details

NPI number 1275698458
LBN Legal business name Rose City Pharmacy
DBA Doing business as Gateway Medical Pharmacy
Authorized official Cao, William
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Oct 25th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275698458 NPPES
Washington MEDICAID 2161521
Washington MEDICAID 170080

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