Lynja Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

9350-42 Issued in WI

Legal business name

LYNJA INC

Doing business as

Daly Drug Long Term Care Pharmacy

Practice address

3215 8TH St S Ste 101
Wisconsin Rapids, WI 54494-6564

Phone

(715) 423-3401

Fax

(715) 432-5523

NPI assigned

Sep 15, 2015

Organization subpart

No

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

Authorized official

Name

Jason GruszynskiNPI 1861744468

Title

President

Phone

(715) 423-3400

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Daly Drug Long Term Care Pharmacy Doing business as

Locations

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": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1639548142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3215 8TH ST S STE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946564",
            "telephone_number": "715-423-3401",
            "fax_number": "715-432-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 8TH ST S STE 101",
            "city": "WISCONSIN RAPIDS",
            "state": "WI",
            "postal_code": "544946564",
            "telephone_number": "715-423-3401",
            "fax_number": "715-432-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LYNJA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2017-02-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "WI",
            "license": "9350-42",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2154142",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100049507",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daly Drug Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• 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
• Michael Desmond Main, O.D.

• Long Term Care Pharmacy in Wisconsin Rapids, WI
• Providers in Wisconsin Rapids, WI by specialty
• Long Term Care Pharmacy in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.