Active NPI
Thomas Pollard
- Student in an Organized Health Care Education/Training Program
- Tallassee, AL
National Provider Identifier
1255272415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- S14621
- Practice address
- 2190 Gilmer Ave
Tallassee, AL 36078-7123 - Phone
- (334) 991-3207
- NPI assigned
- Apr 2, 2026
- Last updated
- Apr 3, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | S14621 | AL | Primary |
Addresses
Primary practice location
2190 Gilmer Ave
Tallassee, AL 36078-7123
Mailing address
4477 Lee Road 137 Lot 21
Auburn, AL 36832-8032
Other practice location 1
2316 Walker Building Auburn University
Auburn, AL 36849-0001
Phone (334) 844-8348
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S14621 | AL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wal-Mart Stores East, LP | Past | Accepting new patients | |
| Wal-Mart Stores East LP | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Walmart Pharmacy 10-1057
- Community/Retail Pharmacy
- Tallassee, AL
- NPI 1801213483
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1775088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1255272415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 LEE ROAD 137 LOT 21",
"city": "AUBURN",
"state": "AL",
"postal_code": "368328032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2190 GILMER AVE",
"city": "TALLASSEE",
"state": "AL",
"postal_code": "360787123",
"telephone_number": "334-991-3207"
}
],
"practiceLocations": [
{
"address_1": "2316 Walker Building Auburn University",
"address_purpose": "LOCATION",
"city": "Auburn",
"state": "AL",
"postal_code": "368490001",
"country_code": "US",
"telephone_number": "334-844-8348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POLLARD",
"first_name": "THOMAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-04-02",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "AL",
"license": "S14621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallassee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.