Provider Demographics
NPI:1033360342
Name:BIRDI, INC.
Entity Type:Organization
Organization Name:BIRDI, INC.
Other - Org Name:
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:GASSER
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:330-491-4200
Mailing Address - Fax:330-491-4201
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:866-909-5170
Practice Address - Fax:866-909-5171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-06
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0218471003336M0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336M0002XSuppliersPharmacyMail Order Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
2117283OtherPK