Organization Active NPI

Human Milk Repository of New Mexico

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Albuquerque, NM
National Provider Identifier
1740951672
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
Legal business name
HUMAN MILK REPOSITORY OF NEW MEXICO
Practice address
6208 Montgomery Blvd NE Ste D
Albuquerque, NM 87109-1400
Phone
(505) 508-5291
Fax
(505) 508-5428
NPI assigned
Sep 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

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

Authorized official

Name
Ashton Lines
Title
Medical Office Manager
Phone
(505) 489-5600

Specialties & licenses 1

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

Addresses

Primary practice location

6208 Montgomery Blvd NE Ste D
Albuquerque, NM 87109-1400

Mailing address

6208 Montgomery Blvd NE Ste D
Albuquerque, NM 87109-1400
Phone (505) 508-5291

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@mothersmilkbanknm.org

National Provider Directory

National Provider Directory

Locations

6208 Montgomery Blvd NE
Ste D
Albuquerque, NM 87109
Phone (505) 830-9081

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1740951672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-508-5291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 MONTGOMERY BLVD NE STE D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091400",
            "telephone_number": "505-508-5291",
            "fax_number": "505-508-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMAN MILK REPOSITORY OF NEW MEXICO",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-21",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "LINES",
        "authorized_official_first_name": "ASHTON",
        "authorized_official_title_or_position": "MEDICAL OFFICE MANAGER",
        "authorized_official_telephone_number": "505-489-5600"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@mothersmilkbanknm.org",
            "affiliation": "N",
            "address_1": "6208 Montgomery Blvd NE Ste D",
            "city": "Albuquerque",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871091400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; 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.