Kelli Lynn Pollard
Individual provider Active NPI Pharmacist · Snyder, TX
NPI 1497367387 · NPPES record last updated Aug 20, 2020
Key facts
- NPI
- 1497367387
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 34190 (TX)
- Practice address
- 3611 College Ave
Snyder, TX 79549-4636 - Phone
- (325) 573-2673
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34190 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS Pharmacy Inc | Past |
Accepting new patients | |
| CVS Pharmacy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 34190 | TX | Yes |
Addresses
Primary practice location
3611 College Ave
Snyder, TX 79549-4636
Mailing address
3611 College Ave
Snyder, TX 79549-4636
Other providers in Snyder, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 20, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.