Organization Active NPI

Krasar Inc

Doing business as Mill City Pharmacy

  • Community/Retail Pharmacy
  • Mill City, OR
National Provider Identifier
1053456392
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0000297 Issued in OR
Legal business name
KRASAR INC
Doing business as
Mill City Pharmacy
Practice address
218 SW Broadway St
Mill City, OR 97360-2411
Phone
(503) 897-2331
Fax
(503) 897-2332
NPI assigned
Feb 21, 2007
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Randall Mickey, RPH
Title
Owner
Phone
(503) 897-2331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X RP-0000297 OR Primary

Addresses

Primary practice location

218 SW Broadway St
Mill City, OR 97360-2411

Mailing address

PO Box 49
Mill City, OR 97360
Phone (503) 897-2331

Other names 1

  • MILL CITY PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1053456392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 49",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "97360",
            "telephone_number": "503-897-2331",
            "fax_number": "503-897-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 SW BROADWAY ST",
            "city": "MILL CITY",
            "state": "OR",
            "postal_code": "973602411",
            "telephone_number": "503-897-2331",
            "fax_number": "503-897-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRASAR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "MICKEY",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-897-2331",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0000297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILL CITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mill City, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.