Active NPI
John Franklin Liska, RPH.
- Pharmacist
- Lake Havasu City, AZ
National Provider Identifier
1104915404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 5238
- Practice address
- 1840 Mesquite Ave
Suite E.
Lake Havasu City, AZ 86403-5771 - Phone
- (928) 855-0106
- Fax
- (928) 855-7653
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 5238 | AZ | Primary |
Addresses
Primary practice location
1840 Mesquite Ave
Suite E.
Lake Havasu City, AZ 86403-5771
Mailing address
1840 Mesquite Ave
Suite E.
Lake Havasu City, AZ 86403-5771
Phone (928) 855-0106
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Pharmacist
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liska'S Apothecary Shop, Inc. | Past | Accepting new patients | |
| Liska'S Apothecary Shop, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Lake Havasu City, AZ
- NPI 1104479039
-
- Community/Retail Pharmacy
- Lake Havasu City, AZ
- NPI 1164511481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1104915404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 MESQUITE AVE",
"address_2": "SUITE E.",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035771",
"telephone_number": "928-855-0106",
"fax_number": "928-855-7653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 MESQUITE AVE",
"address_2": "SUITE E.",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864035771",
"telephone_number": "928-855-0106",
"fax_number": "928-855-7653"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LISKA",
"first_name": "JOHN",
"middle_name": "FRANKLIN",
"credential": "RPH.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "5238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.