STAR FORMULA INC
NPI 1669949046
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral Nutrition in Dallas, TX

Q: What is Star Formula Inc's NPI number?

The NPI number for Star Formula Inc is 1669949046. It was assigned to this organization in the NPPES registry on October 24, 2018. The provider is doing business as Star Medical Specialties.

Q: What is Star Formula Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

Q: When was this NPI record last updated?

The NPPES record for Star Formula Inc was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 24, 2018

428 E JEFFERSON BLVD STE 123, DALLAS, TX 75203(214) 942-2862(915) 942-2920 Get Directions Write a Review

NPPES record last updated: October 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Star Formula Inc NPPES

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

STAR FORMULA INC (NPI 1669949046), doing business as Star Medical Specialties, is a healthcare organization registered as a parenteral & enteral nutrition in Dallas, Texas and active in the NPI registry since October 2018. The organization lists Greg L Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1669949046

Entity TypeOrganization

Primary Taxonomy332BP3500X

Legal Business NameSTAR FORMULA INC

Location Address428 E JEFFERSON BLVD STE 123Dallas, TX 75203-5613

Mailing Address4386 Sunbelt DrAddison, TX 75001-5611 · (972) 380-2065

Phone(214) 942-2862

Fax(915) 942-2920

Organization SubpartNo

Authorized OfficialGreg L JacksonOwner · (800) 368-2065

Enumeration DateOctober 24, 2018

✔ NPI 1669949046 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDurable Medical Equipment & Medical Supplies · Parenteral & Enteral NutritionSuppliers

Taxonomy Code332BP3500X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

428 E JEFFERSON BLVD STE 123, Dallas, TX 75203

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Other Names 1

Doing Business AsStar Medical Specialties

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Star Formula Inc's NPI number?

The NPI number for Star Formula Inc is 1669949046. It was assigned to this organization in the NPPES registry on October 24, 2018. The provider is doing business as Star Medical Specialties.

Where is Star Formula Inc located?

Star Formula Inc is located at 428 E Jefferson Blvd Ste 123, Dallas, TX 75203. The listed phone number is (214) 942-2862.

What is Star Formula Inc's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Parenteral & Enteral Nutrition, with taxonomy code 332BP3500X.

When was this NPI record last updated?

The NPPES record for Star Formula Inc was last updated on October 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.