LISKA'S APOTHECARY SHOP, INC. (NPI# 1164511481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164511481 |
| Entity Type | Organization |
| Organization Name | LISKA'S APOTHECARY SHOP, INC. |
| Other Organization Name | LISKA'S APOTHECARY SHOP |
| Practice Address |
1840 Mesquite Ave Suite E. Lake Havasu City AZ 86403-5771 |
| Practice Telephone | 9288550106 |
| Practice Fax Number | 9288557653 |
| Mailing Telephone | 9288550106 |
| Mailing Fax Number | 9288557653 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | ANTHONY ADRIAN LISKA (PHARMACIST) |
| Authorized Official Telephone | 9288550106 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
1325 | AZ | Suppliers |
| Other Name | Type Code |
|---|---|
| Liska's Apothecary Shop | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| Street Address |
1840 MESQUITE AVE SUITE E. |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548262611 | Paul F Oneill | Specialist | 1840 Mesquite Ave, Ste B, Lake Havasu City, AZ 86403-5771 | 2005-08-10 |
| 1487007498 | Hrmc, LLC | Internal Medicine | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2016-07-14 |
| 1427309350 | Nuderm Treatment Center LLC | Nurse Practitioner | 1840 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5771 | 2012-10-02 |
| 1992069637 | Mohave Infectious Disease,pllc | Internal Medicine | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2012-06-27 |
| 1619174604 | Midwest Internal Medicine Pllc | Specialist | 1840 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5771 | 2007-07-02 |
| 1619019049 | Midwest Internal Medicine Pllc | Specialist | 1840 Mesquite Ave, Suite B, Lake Havasu City, AZ 86403-5771 | 2007-02-13 |
| 1346339637 | Anthony Adrian Liska | Pharmacist | 1840 Mesquite Ave, Suite E., Lake Havasu City, AZ 86403-5771 | 2006-10-12 |
| 1104915404 | John Franklin Liska | Pharmacist | 1840 Mesquite Ave, Suite E., Lake Havasu City, AZ 86403-5771 | 2006-10-12 |
| 1972691582 | Marc Herbert Zimmerman | Orthopaedic Surgery | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2006-10-10 |
| 1861462608 | Marc H. Zimmerman, M.d.p.c. | Orthopaedic Surgery | 1840 Mesquite Ave, Suite G, Lake Havasu City, AZ 86403-5771 | 2006-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857270 | Bridge Medical Services LLC | Pharmacy | 1955 Mcculloch Blvd N # 100, Lake Havasu City, AZ 86403-5739 | 2019-02-11 |
| 1609386119 | Lakeside Pharmacy LLC | Pharmacy | 1960 Mesquite Ave Ste E, Lake Havasu City, AZ 86403-5783 | 2017-10-10 |
| 1811939309 | Bashas' Inc. | Pharmacy | 1831 Kiowa Ave Ste 100, Lake Havasu City, AZ 86403-2461 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255946562 | Grand Canyon Acquisition Co LLC | Pharmacy | 100 E Camelback Rd Ste 112, Phoenix, AZ 85012-1061 | 2020-09-14 |
| 1316564628 | Costco Wholesale Corporation | Pharmacy | 16385 W Waddell Rd, Surprise, AZ 85388-9623 | 2020-07-02 |
| 1669098257 | Nowrx Inc | Pharmacy | 2452 W Birchwood Ave Ste 106, Mesa, AZ 85202-1067 | 2020-06-19 |
| 1356961726 | Truechoice Pharmacy, LLC | Pharmacy | 2410 Highway 95, Bullhead City, AZ 86442-7305 | 2020-04-25 |
| 1861021495 | Walgreen Co | Pharmacy | 1870 W Rio Salado Pkwy Ste 100rx, Tempe, AZ 85281-2695 | 2020-04-06 |
| 1134757503 | Adhererx Incorporated | Pharmacy | 1343 N Colorado St Ste 109, Gilbert, AZ 85233-1618 | 2020-03-31 |
| 1003458332 | Bee's Marketplace Corporation | Pharmacy | 80 North Central Street Unit 6 #3323, Colorado City, AZ 86021 | 2019-10-08 |
| 1508417189 | Call's Community Pharmacy LLC | Pharmacy | 985 S Main St, Snowflake, AZ 85937-5501 | 2019-09-24 |
| 1609429240 | Medavail Pharmacy Inc. | Pharmacy | 5555 E 5th St # 101, Tucson, AZ 85711-2415 | 2019-07-23 |
| 1417513904 | N & R Bryce Enterprises LLC | Pharmacy | 2841 Highway 260 Suite 2, Overgaard, AZ 85933 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.