Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073028957 Individual Practitioner Male Practitioner

Dr. Dustin Boyd Stacey , PharmD

Pharmacist • Rexburg, ID

Professional Overview & Biography Verified Profile Summary

Dr. Dustin Stacey, PharmD is a registered healthcare professional specializing in Pharmacist in Rexburg, ID. Practice services are available at 72 S 1ST E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

72 S 1st E

Rexburg, ID 834401953

Telephone 2083728300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Rexburg, ID

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Rexburg, ID (1793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-04-15
Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License CO 0021794

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jalyce Webb , BSN, RN

Student in an Organized Health Care Education/Training Program

NPI 1306789037

Bachelor of Science in Nursing, Registered Nurse

Dr. Taylor Jardine , DDS

Dentist - General Practice

NPI 1508093212

Doctor of Dental Surgery

Brittaini Milner , LCSW

Social Worker - Clinical

NPI 1699331058

Licensed Clinical Social Worker

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location April 15, 2024

Registered at 72 S 1ST E, REXBURG, ID 834401953 (Tel: 2083728300)

📍
Updated Business Mailing Address April 15, 2024

Registered at 4059 E 390 N, RIGBY, ID 834425559

NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 2901 F RD, GRAND JUNCTION, CO 815045440 (Tel: 9702489871)

📍
Updated Business Mailing Address December 13, 2017

Registered at 381 S REDLANDS RD, GRAND JUNCTION, CO 815071768

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as DUSTIN STACEY, PHARMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Pharmacist (License #0021794 in CO)

🟢
Initial NPI Registration & Enumeration December 13, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073028957
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2017
Last Update: April 15, 2024
Sole Proprietor: Yes

Mailing Address

4059 E 390 N

Rigby, ID 834425559

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.