Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. STACY ALLEN MANGUM PHARM.D.
NPI 1619968237
Pharmacist - Pharmacotherapy in Dexter, MO

Active since November 02, 2005
1200 N ONE MILE RD, MISSOURI SOUTHERN HEALTHCARE, DEXTER, MO 63841(573) 614-1957(573) 624-6265 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stacy Allen Mangum Pharm.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STACY ALLEN MANGUM PHARM.D. (NPI 1619968237) is an individual pharmacotherapy provider in Dexter, Missouri, licensed in Missouri (044733) and active in the NPI registry since November 2005.

NPPES Registry Identity

NPI1619968237
Entity TypeIndividualMale
Primary Taxonomy1835P1200X
Provider Legal NameDR. STACY ALLEN MANGUMCredential: PHARM.D.
Location Address1200 N ONE MILE RD, MISSOURI SOUTHERN HEALTHCAREDexter, MO 63841-1000
Mailing Address704 Chautauqua LnDexter, MO 63841-1929 · (573) 624-9657 · Fax (573) 624-6265
Fax(573) 624-6265
Sole ProprietorNo
Enumeration DateNovember 2, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1619968237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacist · PharmacotherapyPharmacy Service Providers
Taxonomy Code1835P1200X
License Licensed in MO · 044733
Definition

A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing pharmacotherapeutic care of patients, by developing, implementing, monitoring, and modifying complex treatment plans, providing advanced level education and consultation, and collaborating with other health professionals in the management of therapy.

1200 N ONE MILE RD, Dexter, MO 63841

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD, EMERGENCY DEPARTMENT
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Nurse Practitioner (Family)
1200 N ONE MILE RD
DEXTER, MO 63841
Emergency Medicine
1200 N ONE MILE RD
DEXTER, MO 63841

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacy Mangum's NPI number?

The NPI number for Stacy Mangum is 1619968237. It was assigned to this individual provider in the NPPES registry on November 2, 2005.

Where is Stacy Mangum located?

Stacy Mangum practices at 1200 N One Mile Rd Missouri Southern Healthcare, Dexter, MO 63841. The listed phone number is (573) 614-1957.

What is Stacy Mangum's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacotherapy, with taxonomy code 1835P1200X.

When was this NPI record last updated?

The NPPES record for Stacy Mangum was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.