Rose City Pharmacy
Community/Retail Pharmacy
1125 Ne 99th Ave, Portland
Oregon, 97220-9428
503-254-7383 503-254-4568
Rose City Pharmacy is a Community/Retail Pharmacy in Portland, Oregon. It is located at 1125 Ne 99th Ave, Portland and it's customer support contact number is 503-254-7383. The authorized person of Rose City Pharmacy is William Cao who is President of the pharmacy and his contact number is 503-254-7383. Rose City Pharmacy accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Rose City Pharmacy 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.
Pharmacy Details:
Rose City Pharmacy type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Rose City Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 1125 Ne 99th Ave, Portland,
Oregon, 97220-9428 |
| Phone: | 503-254-7383 |
| Fax: | 503-254-4568 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | William Cao |
| Position: | President |
| Contact Number: | 503-254-7383 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1275698458 |
| NPI Enumeration Date: | 27 Dec, 2006 |
| NPI Last Update On: | 25 Oct, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Rose City Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | | Primary | |
| Pharmacy | | | Secondary | |
| Compounding Pharmacy | | | Secondary | |
| Long Term Care Pharmacy | | | Secondary | |
| Mail Order Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2161521 | Medicaid | Washington | |
| 170080 | Medicaid | Oregon | |
Medicare Enrollment:
Rose City Pharmacy is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6507152121 | O20160908000929 | Rose City Pharmacy | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1125 Ne 99th Ave,
Portland, Oregon |
| Zip: | 97220-9428 |
| Phone Number: | 503-254-7383 |
| Fax Number: | 503-254-4568 |
Patients can reach Rose City Pharmacy at
1125 Ne 99th Ave, Portland, Oregon or can
call on customer care at 503-254-7383.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.