Aderonke Efunogbon

Primary specialty

PharmacistTaxonomy code 183500000X

License

51369 Issued in TX

Practice address

1001 Matlock Rd Ste 105
Mansfield, TX 76063

Phone

(817) 592-3636

NPI assigned

Feb 23, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Deramed LTC Pharmacy

  dba DeraMed Specialty Pharmacy

  • Long Term Care Pharmacy
  • Mansfield, TX
  • NPI 1801414933
  NPD Authorized official
• Derhann Co LLC

  dba DeraMed Specialty Pharmacy

  • Specialty Pharmacy
  • Mansfield, TX
  • NPI 1164997169

  Pharmacist

  NPD Authorized official
• Springway Healthcare LLC

  • Assisted Living Facility
  • Mansfield, TX
  • NPI 1144077421
  NPD Authorized official

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1407248875",
    "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": "760633443",
            "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": "76063",
            "telephone_number": "817-592-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFUNOGBON",
        "first_name": "ADERONKE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P2201X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Ambulatory Care",
            "state": "TX",
            "license": "51369",
            "primary": false
        },
        {
            "code": "1835X0200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Oncology",
            "state": "TX",
            "license": "51369",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "51369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Edelman
• Amber Edens, LPC-A
• Megan Ashlea Edgar
• Margaret Edimo, NP
• Cherelle Edwards, NP
• Mercy Uchechi Efuwape, DPT
• Christie U. Egbuchunam, MD
• Henry Ehizokhale, PMHNP
• Shafaq Ejaz, M.D.
• Doris Nwamaka Ejimadu

• Pharmacist in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.