Active NPI
Jerod William Theis, PHARMD
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Hutchinson, KS
National Provider Identifier
1053047373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 1-106989
- Practice address
- 3200 Plaza East Dr
Hutchinson, KS 67502-1607 - Phone
- (620) 663-7628
- NPI assigned
- Jul 28, 2022
- Last updated
- May 7, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 1-106989 | KS | Primary |
Addresses
Primary practice location
3200 Plaza East Dr
Hutchinson, KS 67502-1607
Mailing address
518 Larimer St
Pratt, KS 67124-1315
Phone (620) 388-0342
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-106989 | KS | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778112000000",
"number": "1053047373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 LARIMER ST",
"city": "PRATT",
"state": "KS",
"postal_code": "671241315",
"telephone_number": "620-388-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 PLAZA EAST DR",
"city": "HUTCHINSON",
"state": "KS",
"postal_code": "675021607",
"telephone_number": "620-663-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THEIS",
"first_name": "JEROD",
"middle_name": "WILLIAM",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-28",
"last_updated": "2026-05-07",
"certification_date": "2026-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "KS",
"license": "1-106989",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hutchinson, KS
- The Hutchinson Ophthalmology ASC LLC (Surgery Center of South Central Kansas)
- The Kroger Co (Kroger Pharmacy Atlanta Division)
- The Kroger Co (PPSRx)
- The Kroger Co (Kroger Pharmacy Great Lakes Division)
- Deborah A Theis, LSCSW
- John Francis Theis, LSCSW
- Therapeutic Counseling Services
- Therapeutic Counseling Services
- Therapy for Healthy Living, Inc.
- Thi of Kansas at Golden Plains, LLC (Golden Plains Healthcare Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.