BIRDI, INC.

Provider Demographics

• NPI: 1831520006
• Name: BIRDI, INC.
• Entity type: Organization
• Organization Name: BIRDI, INC.
• Authorized Official - Title/Position: PRINCIPAL, PHARMACY COMPLIANCE
• Authorized Official - First Name: AMY
• Authorized Official - Last Name: DELANO
• Authorized Official - Phone: 858-386-8464
• Mailing Address - Street 1: PO BOX 51580
• Mailing Address - City: PHOENIX
• Mailing Address - State: AZ
• Mailing Address - Zip Code: 85076-1580
• Mailing Address - Country: US
• Mailing Address - Phone: 855-873-8739
• Mailing Address - Fax: 888-783-1773
• Practice Address - Street 1: 8060 S. KYRENE RD.
• Practice Address - City: TEMPE
• Practice Address - State: AZ
• Practice Address - Zip Code: 85284-2109
• Practice Address - Country: US
• Practice Address - Phone: 855-873-8739
• Practice Address - Fax: 888-783-1773
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2013-12-12
• Last Update Date: 2022-12-08

Provider Licenses

State	License ID	Taxonomies
AZ	Y005608	3336M0002X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	3336M0002X	Suppliers	Pharmacy	Mail Order Pharmacy

Provider Identifiers

State	Identifier ID	ID Type	Issuer
IL	330567651001	Medicaid
MN	265917	Other	MINNESOTA BOARD OF PHARMACY
GU	NR-PCY038	Other	GUAM BOARD OF PHARMACY
ND	PHAR1041	Other	NORTH DAKOTA BOARD OF PHARMACY
GA	PHNR001778	Other	GEORGIA DEPT OF COMMUNITY HEALTH
UT	11378780-1714	Other	UTAH DIVISION OF OCCUPATIONAL AND PROFESSIONAL LICENSING
ME	MO40002704	Other	MAINE REGULATORY LICENSING AND PERMITTING
PA	NP000613	Other	COMMONWEALTH OF PENNSYLVANIA BUREAU OF PROFESSIONAL AND OCCUPATIONAL AFFAIRS
OR	RP-0003029	Other	OREGON BOARD OF PHARMACY
IL	054.018819	Other	ILLINOIS DEPT OF FINANCIAL AND PROFESSIONAL REGULATION
IN	64002191A	Other	INDIANA PROFESSIONAL LICENSING AGENCY
RI	PHN11723	Other	RHODE ISLAND DEPT OF HEALTH
TN	0000005427	Other	TENNESSEE DEPT OF HEALTH
VT	036.0124442	Other	STATE OF VERMONT
MS	166807.1	Other	MISSISSIPPI BOARD OF PHARMACY
SD	400-1317	Other	SOUTH DAKOTA BOARD OF PHARMACY
IA	4383	Other	IOWA BOARD OF PHARMACY
AL	800028	Other	STATE BOARD OF PHARMACY
NE	860	Other	NEBRASKA DEPT OF HEALTH AND HUMAN SERVICES
KY	AZ1821	Other	KENTUCKY BOARD OF PHARMACY
AR	OS02718	Other	STATE BOARD OF PHARMACY
NM	PH00004314	Other	NEW MEXICO REGULATION AND LICENSING DEPT
NV	PH03299	Other	NEVADA BOARD OF PHARMACY
MT	PHA-MOP-LIC-63149	Other	MONTANA BOARD OF PHARMACY
WA	PHNR.FO.60984509	Other	WASHINGTON DEPT OF HEALTH
LA	PHY.007063-NR	Other	LOUISIANA BOARD OF PHARMACY
OH	022448000	Other	OHIO BOARD OF PHARMACY
NY	033041	Other	NEW YORK OFFICE OF THE PROFESSIONS
MO	2014036438	Other	MISSOURI DIVISION OF PROFESSIONAL REGISTRATION
NJ	28RO00100300	Other	NEW JERSEY DIVISION OF CONSUMER AFFAIRS
TX	31151	Other	TEXAS BOARD OF PHARMACY
NH	NR1350	Other	NEW HAMPSHIRE BOARD OF PHARMACY
HI	PMP-1014	Other	HAWAII PROFESSIONAL AND VOCATIONAL LICENSING DIVISION
AZ	Y005608	Other	STATE BOARD OF PHARMACY
NC	13186	Other	NORTH CAROLINA BOARD OF PHARMACY
AK	152962	Other	STATE OF ALASKA DIVISION OF PROFESSIONAL LICENSING
SC	17389	Other	SOUTH CAROLINA BOARD OF PHARMACY
DE	A9-0001909	Other	DELAWARE DIVISION OF PROFESSIONAL REGULATION
WV	MO0561437	Other	WEST VIRGINIA BOARD OF PHARMACY
ID	NRD56252	Other	IDAHO BOARD OF PHARMACY
FL	PH28185	Other	FLORIDA DEPT OF HEALTH
MD	PO6869	Other	MARYLAND BOARD OF PHARMACY
VA	0214001603	Other	VIRGINIA DEPT OF HEALTH PROFESSIONS
IL	330567651001	Medicaid
DC	NRX1901664	Other	DISTRICT OF COLUMBIA DEPT OF HEALTH AND REGULATION LICENSING
CO	OSP.0006456	Other	COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS
CT	PCN.0002769	Other	CONNECTICUT DEPT OF CONSUMER PROTECTION
MI	5301012214	Other	MICHIGAN DEPT OF LICENSING AND REGULATORY AFFAIRS
OK	99-8534	Other	OKLAHOMA BOARD OF PHARMACY
CA	NRP2319	Other	CALIFORNIA BOARD OF PHARMACY