Provider Demographics
NPI:1336449511
Name:BIRDI, INC.
Entity type:Organization
Organization Name:BIRDI, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHARMACIST-IN-CHARGE
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GASSSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-491-4287
Mailing Address - Street 1:7835 FREEDOM AVE NW
Mailing Address - Street 2:
Mailing Address - City:NORTH CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44720-6907
Mailing Address - Country:US
Mailing Address - Phone:877-437-9012
Mailing Address - Fax:877-309-0687
Practice Address - Street 1:7835 FREEDOM AVE NW
Practice Address - Street 2:
Practice Address - City:NORTH CANTON
Practice Address - State:OH
Practice Address - Zip Code:44720-6907
Practice Address - Country:US
Practice Address - Phone:877-437-9012
Practice Address - Fax:877-309-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-22
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
OHPMY.021847100-033336S0011X
OHMOP.021847100-033336S0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336S0011XSuppliersPharmacySpecialty Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2126640OtherPK