DERHANN CO LLC NPI 1164997169

NPI Information

  • NPI: 1164997169
  • Provider Name: DERHANN CO LLC
  • Classification: Pharmacy - 3336S0011X
  • Specialization: Specialty Pharmacy
  • Entity Type: Organization
  • :
  • CLIA Number: 45D2161083
  • Address: 1001 MATLOCK RD STE 105
    MANSFIELD, TX
    ZIP 76063
  • Phone: (817) 592-3636

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NPI Details

DERHANN CO LLC is a specialty pharmacy pharmacy in Mansfield, TX. The provider is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. DERHANN CO LLC NPI is 1164997169. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

1001 MATLOCK RD STE 105
MANSFIELD, TX
ZIP 76063-564
Phone: (817) 592-3636

The provider's authorized official is Aderonke Efunogbon .
The authorized official title is Director and has the following contact phone number (817) 592-3636.

The CLIA number assigned to this NPI record is 45D2161083 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2018 and was last updated on 11/19/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BP3500XDurable Medical Equipment & Medical SuppliesParenteral & Enteral NutritionNo
23336L0003XPharmacyLong Term Care PharmacyNo
3183500000XPharmacistNo
43336C0004XPharmacyCompounding PharmacyNo
53336C0003XPharmacyCommunity/Retail PharmacyNo
63336H0001XPharmacyHome Infusion Therapy PharmacyNo
7335G00000XMedical Foods SupplierNo
8332B00000XDurable Medical Equipment & Medical SuppliesNo
9333600000XPharmacyNo
103336S0011XPharmacySpecialty PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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