Derhann Co LLC
NPI 1164997169 · Specialty Pharmacy · Mansfield, TX
Enrolled with Medicare as Part B Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derhann Co LLC is a Specialty Pharmacy organization in Mansfield, TX (NPI 1164997169).
Provider details
- NPI number
- 1164997169
- Entity type
- Organization
- Primary specialty
- Specialty PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Aderonke Efunogbon, Director(817) 592-3636
Specialties & taxonomies
Suppliers
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Pharmacist183500000X
Pharmacy Service Providers
- Compounding Pharmacy3336C0004X
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Home Infusion Therapy Pharmacy3336H0001X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Derhann Co. LLC
- Other name
- Deramed Specialty Pharmacy
- Doing business as
- Deramed Specialty Pharmacy
Registry dates
- Enumerated
- 2018-10-05
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Derhann Co LLC's NPI number?
- Derhann Co LLC's National Provider Identifier (NPI) is 1164997169, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Derhann Co LLC?
- Derhann Co LLC is classified in the NPPES registry as Specialty Pharmacy (Suppliers).
- Where is Derhann Co LLC located?
- Derhann Co LLC's practice location on file with NPPES is 1001 Matlock Rd Ste 105, Mansfield, TX 76063-6564.
- What is Derhann Co LLC's phone number?
- The practice phone number listed in the NPPES registry for Derhann Co LLC is (817) 592-3636.
- Does Derhann Co LLC accept Medicare?
- Derhann Co LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Derhann Co LLC?
- The authorized official listed on Derhann Co LLC's NPPES record is Aderonke Efunogbon, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Derhann Co LLC's NPI active?
- Yes — Derhann Co LLC's NPI (1164997169) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.