DR. STACIE MICHELLE BLACK PHARM D
NPI 1639225105
Pharmacist in Selmer, TN

Active since January 26, 2007
WALGREENS, 409 MULBERRY AVE, SELMER, TN 38375(731) 645-4423(731) 645-4399 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Stacie Michelle Black Pharm D NPPES

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

DR. STACIE MICHELLE BLACK PHARM D (NPI 1639225105) is an individual pharmacist in Selmer, Tennessee, licensed in Tennessee (13036) and active in the NPI registry since January 2007. She maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1639225105
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameDR. STACIE MICHELLE BLACKCredential: PHARM D
Location AddressWALGREENS, 409 MULBERRY AVESelmer, TN 38375
Mailing Address409 Mulberry AveSelmer, TN 38375-2307 · (731) 645-4423 · Fax (731) 645-4399
Fax(731) 645-4399
Sole ProprietorNo
Enumeration DateJanuary 26, 2007
Last NPPES UpdateDecember 27, 2022
NPPES CertifiedDecember 24, 2022
NPI 1639225105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in TN · 13036
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
WALGREENS, Selmer, TN 38375

Secondary Practice Location 1

Location 1118 E Main StHenderson, TN 38340-2335 · Phone (731) 989-2166 · Fax (731) 989-9685

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 Stacie Black's NPI number?

The NPI number for Stacie Black is 1639225105. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Where is Stacie Black located?

Stacie Black practices at Walgreens 409 Mulberry Ave, Selmer, TN 38375. The listed phone number is (731) 645-4423.

What is Stacie Black's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Stacie Black was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.