OrganizationActive
Deramed Ltc Pharmacy
NPI 1801414933 · Long Term Care Pharmacy · Mansfield, TX
Provider details
- NPI number
- 1801414933
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Derhann Co. LLC
- Organization subpart
- Yes
- Authorized official
- Aderonke Efunogbon, Director(817) 592-3636
Specialties & taxonomies
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1001 Matlock Rd Ste 105
Mansfield, TX 76063-3443
Phone: (817) 592-3636
Approximate (ZIP-level) locationGet directions
Mailing address
1001 Matlock Rd Ste 105
Mansfield, TX 76063-3443
Other names (DBA / former)
- Doing business as
- Deramed Specialty Pharmacy
- Doing business as
- Deramed Specialty Pharmacy
Registry dates
- Enumerated
- 2020-07-06
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.