Lynja Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

9165-42 Issued in WI

Legal business name

LYNJA INC

Doing business as

Daly Drug

Practice address

3215 8TH St S
Wisconsin Rapids, WI 54494-6564

Phone

(715) 423-3400

Fax

(715) 423-5504

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Jason Gruszynski, R.PH.NPI 1861744468

Title

President

Phone

(715) 423-3400

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Daly Drug Doing business as

Medicare fee-for-service enrollment

Enrolled in WI2 enrollments

Enrollment records 2

Practitioners 1

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

• Jason John Gruszynski, RPH

  • Pharmacist
  • Wisconsin Rapids, WI
  • NPI 1861744468
  NPD Authorized official

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1104179944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946564",
            "telephone_number": "715-423-3400",
            "fax_number": "715-423-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 8TH ST S",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946564",
            "telephone_number": "715-423-3400",
            "fax_number": "715-423-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNJA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "GRUSZYNSKI",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-423-3400",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "WI",
            "license": "9165-42",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138264",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daly Drug",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demaris Losinski, APSW
• Etta Lovitt, MD
• Daniel M. Lucas, M.D.
• Hannah Luker
• Eric M Lutz, OT
• Lynja Inc
• Diane Maciejewski
• Kheson Kaballa Madison
• William Mahoney V, PHARMD
• Carol Ann Sheker Main, OD

• Pharmacy in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.