Mary Jo Thoennes, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

4863 Issued in SD

Practice address

100 Lake Traverse Dr
Sisseton, SD 57262-7046

Phone

(605) 742-3600

NPI assigned

Feb 6, 2007

Last updated

May 26, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Mary Jo Dylla Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1407995020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3795",
            "fax_number": "605-698-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LAKE TRAVERSE DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572627046",
            "telephone_number": "605-742-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOENNES",
        "first_name": "MARY",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "115838",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SD",
            "license": "4863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DYLLA",
            "middle_name": "JO",
            "prefix": "MS.",
            "credential": "RPH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Rose Swiney, MD
• Tandem Healthcare Inc.
• Tekakwitha Nursing Center Inc (Tekakwitha Living Center)
• Leah Meyer Thielen, DC
• Paul William Thielen, BS DC
• Nathan Tiedeman, DNP, FNP, RN
• Sherryl J. Tomboulian, M.D., P.H.D
• US Dept of Health & Human Services
• Jodie Webb, FNP-BC
• Leah Adele Weiss, PHARMD

• Pharmacist in Sisseton, SD
• Providers in Sisseton, SD by specialty
• Pharmacist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.

Verify at the official NPI Registry.