Milk Bank Inc

Primary specialty

Medical Foods SupplierTaxonomy code 335G00000X

Legal business name

MILK BANK INC

Practice address

8020 Castleway Dr
Indianapolis, IN 46250-1943

Phone

(317) 536-1670

Fax

(317) 536-1676

NPI assigned

Oct 21, 2014

Organization subpart

No

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

Authorized official

Name

Freedom Kolb

Title

Ceo

Phone

(317) 536-1670

Specialties & licenses 1

Addresses

Tax ID family

Indiana Mothers' Milk Bank Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Indiana Mothers' Milk Bank, Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Indianapolis, IN
  • NPI 1790964914
  NPD tax ID
• Indiana Mothers' Milk Bank, Inc.

  • Voluntary or Charitable Agency
  • Indianapolis, IN
  • NPI 1649318080
  NPD tax ID

Locations

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

{
    "created_epoch": "1413849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1144624040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501943",
            "telephone_number": "317-536-1670",
            "fax_number": "317-536-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8020 CASTLEWAY DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501943",
            "telephone_number": "317-536-1670",
            "fax_number": "317-536-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILK BANK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-21",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "KOLB",
        "authorized_official_first_name": "FREEDOM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-536-1670"
    },
    "taxonomies": [
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason M Milford, CRNA
• Kimberly Milfort, LMT
• Martin Louis Milgrom, M.D., PH.D.
• Wynne Milhouse
• Seneque Milien, MD
• Sandy L Milks
• Robert Boyd Millard Jr., DDS
• Kristin Millen, NP
• Miller Dental, PC
• Miller Signature Care

• Medical Foods Supplier in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Medical Foods Supplier in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.