IndividualActive
Stacy Mangum, PHARM.D.
NPI 1619968237 · Pharmacotherapy Pharmacist · Dexter, MO
Stacy Mangum, PHARM.D. is a Pharmacotherapy Pharmacist provider in Dexter, MO (NPI 1619968237).
Provider details
- NPI number
- 1619968237
- Entity type
- Individual
- Primary specialty
- Pharmacotherapy PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- License
- 044733 (MO)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1200 N One Mile Rd
Missouri Southern Healthcare
Dexter, MO 63841-1000
Phone: (573) 614-1957
Fax: (573) 624-6265
Street-level locationGet directions
Mailing address
704 Chautauqua Ln
Dexter, MO 63841-1929
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2007-07-08
Frequently asked questions
- What is Stacy Mangum's NPI number?
- Stacy Mangum's National Provider Identifier (NPI) is 1619968237, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacy Mangum's specialty?
- Stacy Mangum is listed in the NPPES registry with a primary specialty of Pharmacotherapy Pharmacist (Pharmacy Service Providers).
- Where is Stacy Mangum located?
- Stacy Mangum's practice location on file with NPPES is 1200 N One Mile Rd, Dexter, MO 63841-1000.
- What is Stacy Mangum's phone number?
- The practice phone number listed in the NPPES registry for Stacy Mangum is (573) 614-1957.
- Is Stacy Mangum's NPI active?
- Yes — Stacy Mangum's NPI (1619968237) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.