Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Star Formula Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1164108825

Star Formula Inc is a Durable Medical Equipment & Medical Supplies in Albuquerque, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5244 2nd St NW
Albuquerque, NM 87107-4010
Phone: (800) 368-2065
Fax: (800) 301-9488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Medical Foods Supplier Taxonomy 335G00000X

Record details

NPI number1164108825
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer Mitchell — Ceo · (972) 380-2065
Other names Star Medical Specailties
NPI enumeratedJune 26, 2023
Last updated in NPPESJuly 6, 2023
Certification dateJuly 6, 2023
Mailing address4386 Sunbelt Dr, Addison, TX 75001-5611

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