Derhann Co LLC

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

DERHANN CO LLC

Doing business as

DERHANN Co. LLC

Practice address

1001 Matlock Rd Ste 105
Mansfield, TX 76063-6564

Phone

(817) 592-3636

NPI assigned

Oct 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aderonke EfunogbonNPI 1407248875

Title

Director

Phone

(817) 592-3636

Specialties & licenses 10

Addresses

Other names 2

• DERHANN Co. LLC Doing business as
• DeraMed Specialty Pharmacy Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Deramed LTC Pharmacy

  • Long Term Care Pharmacy
  • Mansfield, TX
  • NPI 1801414933
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aderonke Efunogbon

  • Pharmacist
  • Mansfield, TX
  • NPI 1407248875
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763510400000",
    "number": "1164997169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MATLOCK RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636564",
            "telephone_number": "817-592-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MATLOCK RD STE 105",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636564",
            "telephone_number": "817-592-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERHANN CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-05",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A",
        "authorized_official_last_name": "EFUNOGBON",
        "authorized_official_first_name": "ADERONKE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "817-592-3636"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335G00000X",
            "taxonomy_group": "",
            "desc": "Medical Foods Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DERHANN Co. LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeraMed Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DeraMed Specialty Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dental Health Associates of Texas, PC.
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• Deramed LTC Pharmacy
• Alexander Charles Deri, MD
• Devak Girish Desai, MD
• Riya Rohit Desai, DDS
• Brittany Rachael Desantiago, PA-C
• Aileen Rhoda Desquitado, P.T.

• Specialty Pharmacy in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Specialty Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.