Star Formula Inc
NPI 1164108825 · Durable Medical Equipment & Medical Supplies · Albuquerque, NM
Enrolled with Medicare as Dme Supplier - Medical Supply Company · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Star Formula Inc is a Durable Medical Equipment & Medical Supplies organization in Albuquerque, NM (NPI 1164108825).
Provider details
- NPI number
- 1164108825
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jennifer Mitchell, Ceo(972) 380-2065
Specialties & taxonomies
Suppliers
Suppliers
- Medical Foods Supplier335G00000X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Star Medical Specailties
Registry dates
- Enumerated
- 2023-06-26
- Last updated
- 2023-07-06
- Certified
- 2023-07-06
Frequently asked questions
- What is Star Formula Inc's NPI number?
- Star Formula Inc's National Provider Identifier (NPI) is 1164108825, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Star Formula Inc?
- Star Formula Inc is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Star Formula Inc located?
- Star Formula Inc's practice location on file with NPPES is 5244 2nd St Nw, Albuquerque, NM 87107-4010.
- What is Star Formula Inc's phone number?
- The practice phone number listed in the NPPES registry for Star Formula Inc is (800) 368-2065.
- Does Star Formula Inc accept Medicare?
- Star Formula Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Star Formula Inc?
- The authorized official listed on Star Formula Inc's NPPES record is Jennifer Mitchell, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Star Formula Inc's NPI active?
- Yes — Star Formula Inc's NPI (1164108825) is active in the NPPES registry as of the last update on 2023-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.