Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tracie Marie Jackson, RPH

Individual provider Pharmacist · NPI 1891617387

Tracie Marie Jackson, RPH is a Pharmacist in Fenton, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2026.

Licensed in
IL, MO
In the registry since
2026
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

1329 Horan Dr
Fenton, MO 63026-1939
Phone: (636) 779-2700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 2006005456 (MO)
Pharmacist Taxonomy 183500000X · Licence 051288965 (IL)

Record details

NPI number1891617387
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 28, 2026
Last updated in NPPESJuly 28, 2026
Certification dateJuly 28, 2026

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