Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Stacy Mangum's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Mangum was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 16, 2026.

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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

Phone(573) 614-1957

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

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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.

DR. EDWARD D REESE M.D.

Family Medicine

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-7575

FRANK FURNARI MD

Emergency Medicine

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-5566

DEXTER EMERGENCY PHYSICIANS, LLC

Emergency Medicine

1200 N ONE MILE RD, EMERGENCY DEPARTMENT
DEXTER, MO 63841

Stoddard County (573) 624-5566

MISS ASHLEY MARIE GANTNER FNP-C

Nurse Practitioner (Family)

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-7575

KRISTIN SUZANNE WHEELER GUETHLE NP-C

Nurse Practitioner (Family)

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 421-3134

MRS. LAURIE MURIEL JIBBEN APN

Nurse Practitioner (Family)

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-7575

MELISSA ELAINE HUBBARD FNP-C

Nurse Practitioner (Family)

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-5566

MERAMEC EMERGENCY PHYSICIANS, LLP

Emergency Medicine

1200 N ONE MILE RD
DEXTER, MO 63841

Stoddard County (573) 624-5566

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.