IndividualActive
Stacie Black, PHARM D
NPI 1639225105 · Pharmacist · Selmer, TN
Stacie Black, PHARM D is a Pharmacist provider in Selmer, TN (NPI 1639225105).
Provider details
- NPI number
- 1639225105
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM D
- Sex
- Female
- Sole proprietor
- No
- License
- 13036 (TN)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Walgreens
409 Mulberry Ave
Selmer, TN 38375
Phone: (731) 645-4423
Fax: (731) 645-4399
Approximate (ZIP-level) locationGet directions
Mailing address
409 Mulberry Ave
Selmer, TN 38375-2307
Additional practice locations (1)
- 118 E Main StHenderson, TN 38340-2335Phone: (731) 989-2166Fax: (731) 989-9685
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2022-12-27
- Certified
- 2022-12-24
Frequently asked questions
- What is Stacie Black's NPI number?
- Stacie Black's National Provider Identifier (NPI) is 1639225105, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Stacie Black's specialty?
- Stacie Black is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Stacie Black located?
- Stacie Black's practice location on file with NPPES is Walgreens, Selmer, TN 38375.
- What is Stacie Black's phone number?
- The practice phone number listed in the NPPES registry for Stacie Black is (731) 645-4423.
- Is Stacie Black's NPI active?
- Yes — Stacie Black's NPI (1639225105) is active in the NPPES registry as of the last update on 2022-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.