Organization Active NPI

Mothers' Milk Bank of Alabama

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Birmingham, AL
National Provider Identifier
1174186225
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
MOTHERS' MILK BANK OF ALABAMA
Practice address
107 Walter Davis Dr
Birmingham, AL 35209-2803
Phone
(205) 942-8911
Fax
(205) 942-8838
NPI assigned
Apr 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Kristina Habchi, CLC
Title
Executive Director
Phone
(205) 942-8911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X Primary

Addresses

Primary practice location

107 Walter Davis Dr
Birmingham, AL 35209-2803

Mailing address

107 Walter Davis Dr
Birmingham, AL 35209-2803
Phone (205) 942-8911

National Provider Directory

National Provider Directory

Locations

107 Walter Davis Dr
Birmingham, AL 35209
Phone (205) 942-8911

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1174186225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 WALTER DAVIS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092803",
            "telephone_number": "205-942-8911",
            "fax_number": "205-942-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 WALTER DAVIS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352092803",
            "telephone_number": "205-942-8911",
            "fax_number": "205-942-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHERS' MILK BANK OF ALABAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-15",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "HABCHI",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-942-8911",
        "authorized_official_credential": "CLC"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.