LISKA'S APOTHECARY SHOP, INC.
Community/Retail Pharmacy · LAKE HAVASU CITY, AZ
Organization Active NPI 1164511481
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 31 | 72 | $6,066 | $5,660 | $5,660 |
| 2023 | 413 | 1,274 | $227,872 | $97,384 | $97,384 |
| 2022 | 656 | 1,465 | $235,334 | $74,467 | $74,467 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| 90480 | Admn sarscov2 vacc 1 dose | 24 | $42 | $42 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 24 | $143 | $143 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | 1325 | AZ |
| Clinical Medical Laboratory | 291U00000X | — | — | |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Clinic Pharmacy | 3336C0002X | — | — |
Other Community/Retail Pharmacy providers in Arizona
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.