Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Derhann Co LLC

Organization Pharmacist · NPI 1164997169

Derhann Co LLC is a Pharmacist in Mansfield, Texas. Registered with an NPI since 2018.

In the registry since
2018
Specialties on file
10
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1001 Matlock Rd Ste 105
Mansfield, TX 76063-6564
Phone: (817) 592-3636
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialty Pharmacy (primary) Taxonomy 3336S0011X
Pharmacist Taxonomy 183500000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Parenteral & Enteral Nutrition Supplies (DME) Taxonomy 332BP3500X
Pharmacy Taxonomy 333600000X
Community/Retail Pharmacy Taxonomy 3336C0003X
Compounding Pharmacy Taxonomy 3336C0004X
Home Infusion Therapy Pharmacy Taxonomy 3336H0001X
Long Term Care Pharmacy Taxonomy 3336L0003X
Medical Foods Supplier Taxonomy 335G00000X

Record details

NPI number1164997169
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Aderonke Efunogbon — Director · (817) 592-3636
Other names Derhann Co. Llc; Deramed Specialty Pharmacy; Deramed Specialty Pharmacy
NPI enumeratedOctober 5, 2018
Last updated in NPPESNovember 19, 2025
Certification dateNovember 19, 2025
Mailing address1001 Matlock Rd Ste 105, Mansfield, TX 76063-6564

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