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LISKA'S APOTHECARY SHOP, INC.
NPI 1104479039
Assisted Living Facility in Lake Havasu City, AZ

Active since July 19, 2019
1840 MESQUITE AVE., STE. E, LAKE HAVASU CITY, AZ 86403(982) 855-0106(928) 855-7653 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 21, 2026, Jul 19, 2019 (2 updates tracked since 2019).

About Liska's Apothecary Shop, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISKA'S APOTHECARY SHOP, INC. (NPI 1104479039), doing business as Liska's Apothecary Ltc, is a healthcare organization registered as an assisted living facility in Lake Havasu City, Arizona and active in the NPI registry since July 2019. The organization lists Sheryl Ann Pringle, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104479039
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLISKA'S APOTHECARY SHOP, INC.
Location Address1840 MESQUITE AVE., STE. ELake Havasu City, AZ 86403
Mailing Address1840 Mesquite Ave Ste ELake Havasu City, AZ 86403-5771 · (982) 855-0106 · Fax (928) 855-7653
Phone(982) 855-0106
Fax(928) 855-7653
Organization SubpartYes
Authorized OfficialSheryl Ann PringleOffice Manager · (928) 855-0106
Enumeration DateJuly 19, 2019
Last NPPES UpdateMay 21, 20262 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1104479039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1840 MESQUITE AVE., STE. E, Lake Havasu City, AZ 86403
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Other Names 1

Doing Business AsLiska's Apothecary Ltc

Other Identifiers 1

Medicaid300012AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 11

Medicare supplier enrollment and the product categories Liskas Apothecary Shop carries, from the Medicare DMEPOS supplier directory.

Liskas Apothecary Shop

DMEPOS supplier · Lake Havasu City, AZOperated by Liska's Apothecary Shop Inc
✔

Accepts Medicare assignment

Liskas Apothecary Shop agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20547773
Medicare Participant SinceNovember 10, 2009
Supplier Location1840 Mesquite Ave Ste ELake Havasu City, AZ 86403
Phone(928) 855-0106
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Liska's Apothecary Shop, Inc.'s NPI number?

The NPI number for Liska's Apothecary Shop, Inc. is 1104479039. It was assigned to this organization in the NPPES registry on July 19, 2019. The provider is doing business as Liska's Apothecary LTC.

Where is Liska's Apothecary Shop, Inc. located?

Liska's Apothecary Shop, Inc. is located at 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403. The listed phone number is (982) 855-0106.

What is Liska's Apothecary Shop, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Liska's Apothecary Shop, Inc. accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Liskas Apothecary Shop accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Liska's Apothecary Shop, Inc. accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 14 other insurers list Liska's Apothecary Shop, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Liska's Apothecary Shop, Inc. was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.