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Active NPI 1619968237 Individual Practitioner Male Practitioner

Dr. Stacy Allen Mangum , PharmD

Pharmacist - Pharmacotherapy • Dexter, MO

Professional Overview & Biography Verified Profile Summary

Dr. Stacy Mangum, PharmD is a registered healthcare professional specializing in Pharmacist - Pharmacotherapy in Dexter, MO. Practice services are available at 1200 N ONE MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 N One Mile Rd
Missouri Southern Healthcare

Dexter, MO 638411000

Telephone 5736141957
Fax 5736246265
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist - Pharmacotherapy in Dexter, MO

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

Practicing in Dexter, MO (126 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

Pharmacist - Pharmacotherapy Primary Specialty

NUCC Taxonomy Code: 1835P1200X

State License MO 044733

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.

Practice Associates & Co-Workers

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

12 Associated Practitioners
Dr. Edward Reese , MD

Family Medicine

NPI 1013279918

Doctor of Medicine (M.D.)

Dr. Frank Furnari , MD

Emergency Medicine

NPI 1083176929

Doctor of Medicine (M.D.)

Christine Roberts , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144209107

Certified Registered Nurse Anesthetist

Ashley Gantner , FNP-C

Nurse Practitioner - Family

NPI 1245959717

Family Nurse Practitioner (Certified)

Kristin Guethle , NP-C

Nurse Practitioner - Family

NPI 1255801247

Nurse Practitioner (Certified)

Laurie Jibben , APN

Nurse Practitioner - Family

NPI 1285629543

Advanced Practice Nurse

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1200 N ONE MILE RD, MISSOURI SOUTHERN HEALTHCARE, DEXTER, MO 638411000 (Tel: 5736141957)

📍
Updated Business Mailing Address July 08, 2007

Registered at 704 CHAUTAUQUA LN, DEXTER, MO 638411929 (Tel: 5736249657)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACY MANGUM, PHARM.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pharmacist (License #044733 in MO)

🟢
Initial NPI Registration & Enumeration November 02, 2005

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: 1619968237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

704 Chautauqua Ln

Dexter, MO 638411929

Phone: 5736249657

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.