Liska'S Apothecary Shop, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

1325 Issued in AZ

Legal business name

LISKA'S APOTHECARY SHOP, INC.

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

Organization subpart

No

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

Authorized official

Name

Anthony Adrian Liska, PHARMDNPI 1346339637

Title

Pharmacist

Phone

(928) 855-0106

Specialties & licenses 4

Addresses

Other names 1

• Liska's Apothecary Shop Doing business as

Medicare fee-for-service enrollment

Enrolled in AZ2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Liskas Apothcary Shop Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Liska'S Apothecary Shop, Inc.

  • Assisted Living Facility
  • Lake Havasu City, AZ
  • NPI 1104479039
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Liska'S Apothecary Shop, Inc.

  • Assisted Living Facility
  • Lake Havasu City, AZ
  • NPI 1104479039
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Adrian Liska, PHARM D.

  • Pharmacist
  • Lake Havasu City, AZ
  • NPI 1346339637
  NPD Authorized official
• John Franklin Liska, RPH.

  • Pharmacist
  • Lake Havasu City, AZ
  • NPI 1104915404
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696636800000",
    "number": "1164511481",
    "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": {
        "organization_name": "LISKA'S APOTHECARY SHOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-10-07",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "LISKA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "ADRIAN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "928-855-0106",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "1325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liska's Apothecary Shop",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liska's Apothecary Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark B Lim, MD
• Lincare Inc.
• Anthony Adrian Liska, PHARM D.
• John Franklin Liska, RPH.
• Liska'S Apothecary Shop, Inc.
• E. Franklin Livingstone MD PC, M.D.
• James Loeber
• London Bridge Emergency Physicians
• Kristen L Long, LPC, CACII
• Thomas Eugene Long, M.D.

• All providers in Lake Havasu City, AZ
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.