Organization Active NPI

Haga Corporation

Doing business as Millersport Pharmacy

  • Community/Retail Pharmacy
  • Millersport, OH
National Provider Identifier
1306956644
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
020785050 Issued in OH
Legal business name
HAGA CORPORATION
Doing business as
Millersport Pharmacy
Practice address
12075 Lancaster St
Millersport, OH 43046-5008
Phone
(740) 467-2232
Fax
(740) 467-2938
NPI assigned
Aug 30, 2006
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Talat Rauf
Title
President
Phone
(740) 467-2232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 020785050 OH Primary

Addresses

Primary practice location

12075 Lancaster St
Millersport, OH 43046-5008

Mailing address

PO Box 267
Millersport, OH 43046-0267
Phone (740) 467-2232

Other identifiers 1

IdentifierTypeStateIssuer
0668344MedicaidOH

Other names 1

  • Millersport Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210505002810 OH Part B Supplier - Pharmacy 8022427947 Practice locations: Millersport, OH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1306956644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 267",
            "city": "MILLERSPORT",
            "state": "OH",
            "postal_code": "430460267",
            "telephone_number": "740-467-2232",
            "fax_number": "740-467-2938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12075 LANCASTER ST",
            "city": "MILLERSPORT",
            "state": "OH",
            "postal_code": "430465008",
            "telephone_number": "740-467-2232",
            "fax_number": "740-467-2938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAGA CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "RAUF",
        "authorized_official_first_name": "TALAT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-467-2232"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "020785050",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0668344",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Millersport Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Millersport, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.