Organization provider

DERHANN CO LLC

Specialty Pharmacy Parenteral & Enteral Nutrition Supplies (DME) Long Term Care Pharmacy Medicare enrolled

DERHANN CO LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1164997169, based in Mansfield, TX. The organization lists 10 taxonomy classifications, with Specialty Pharmacy recorded as primary.

Getting there

The practice address on file is 1001 MATLOCK RD STE 105, Mansfield, TX 76063. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1001 MATLOCK RD STE 105, Mansfield, TX 76063 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Pharmacy
PAC ID
0648691972
Enrollment ID
O20200610002368

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Pharmacy. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Specialty Pharmacy covers

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. NUCC Health Care Provider Taxonomy, code 3336S0011X
Suppliers Pharmacy Specialty Pharmacy

All registered taxonomy codes

This provider registers 10 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

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

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1164997169 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 5, 2018
Last updatedNov 19, 2025
StatusActive
Practice address 1001 MATLOCK RD STE 105
Mansfield, TX 76063
(817) 592-3636
This record was updated on Nov 19, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1164997169 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 6 4 9 9 7 1 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 3 4 9 9 5 1 3

Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1164997169?
NPI 1164997169 is the National Provider Identifier assigned to DERHANN CO LLC in Mansfield, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Specialty Pharmacy cover?
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.
How do I contact DERHANN CO LLC?
The phone number on file with NPPES is (817) 592-3636, last updated Nov 19, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DERHANN CO LLC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1164997169 a valid number?
Yes. 1164997169 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.