Healthcare Provider Details

I. General information

NPI: 1801548524
Provider Name (Legal Business Name): BIRDI, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2022
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 S KYRENE RD
TEMPE AZ
85284-2109
US

IV. Provider business mailing address

PO BOX 51580
PHOENIX AZ
85076-1580
US

V. Phone/Fax

Practice location:
  • Phone: 855-873-8739
  • Fax: 888-783-1773
Mailing address:
  • Phone: 856-873-8739
  • Fax: 888-783-1773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336S0011X
TaxonomySpecialty Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: PETER FLECK
Title or Position: SR DIRECTOR OF PHARMACY
Credential:
Phone: 906-202-3131