STAR MARKETS COMPANY INC
NPI 1073604625
Pharmacy - Community/Retail Pharmacy in Boise, ID

Q: What is Star Markets Company Inc's NPI number?

The NPI number for Star Markets Company Inc is 1073604625. It was assigned to this organization in the NPPES registry on September 27, 2006.

Q: What is Star Markets Company Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since September 27, 2006

250 E PARKCENTER BLVD, BOISE, ID 83706(208) 395-6200(623) 336-6363 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 24, 2020, Jun 12, 2018 (2 updates tracked since 2018).

On this page

About Star Markets Company Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STAR MARKETS COMPANY INC (NPI 1073604625) is a healthcare organization registered as a community/retail pharmacy in Boise, Idaho and active in the NPI registry since September 2006. The organization lists Kathy Giannakopoulos, Enrollments Manager, as its authorized official.

NPPES Registry Identity

NPI1073604625

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameSTAR MARKETS COMPANY INC

Location Address250 E PARKCENTER BLVDBoise, ID 83706

Mailing AddressPo Box 742382Los Angeles, CA 90074-2382

Phone(208) 395-6200

Fax(623) 336-6363

Organization SubpartYesParent: Albertsons Companies Inc

Authorized OfficialKathy GiannakopoulosEnrollments Manager · (208) 395-3954

Enumeration DateSeptember 27, 2006

Last NPPES UpdateApril 24, 20202 updates tracked since enumeration

NPPES CertifiedApril 24, 2020

✔ NPI 1073604625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

250 E PARKCENTER BLVD, Boise, ID 83706

Open in Google Maps ↗

Other Identifiers 1

OtherP00444432Medicare Railroad Ptan#

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Star Markets Company Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateTexasEnrollment IDO20051013000374Non-DME Part B · Centralized Flu BillerDue dateOctober 31, 2026

Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

3,006 services2,974 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

2,807 services2,783 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

266 services265 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

266 services265 patients

Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage 90686

The quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.

15 services15 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ACME MARKETS INC

Dietitian, Registered