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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

TRACIE MARIE JACKSON RPH
NPI 1891617387
Pharmacist in Fenton, MO

Active since July 28, 2026
1329 HORAN DR, FENTON, MO 63026(636) 779-2700 Get Directions Write a Review

NPPES record added: July 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracie Marie Jackson Rph NPPES

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

TRACIE MARIE JACKSON RPH (NPI 1891617387) is an individual pharmacist in Fenton, Missouri, licensed in Missouri (2006005456) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1891617387
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameTRACIE MARIE JACKSONCredential: RPH
Location Address1329 HORAN DRFenton, MO 63026-1939
Mailing Address16349 Centerpointe DrWildwood, MO 63040-1602 · (636) 779-2700
Phone(636) 779-2700
Sole ProprietorNo
Enumeration DateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
✔ NPI 1891617387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
Licenses✔ Licensed in MO · 2006005456✔ Licensed in IL · 051288965
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.
1329 HORAN DR, Fenton, MO 63026
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY L COPES PHARMD
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700
NUTRITIONAL SUPPORT SERVICES
Pharmacy (Long Term Care Pharmacy)
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700
DR. SARAH SUE GALLE PHARM.D.
Pharmacist
1329 HORAN DR
FENTON, MO 63026
St. Louis County (636) 779-2700

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 Tracie Jackson's NPI number?

The NPI number for Tracie Jackson is 1891617387. It was assigned to this individual provider in the NPPES registry on July 28, 2026.

Where is Tracie Jackson located?

Tracie Jackson practices at 1329 Horan Dr, Fenton, MO 63026. The listed phone number is (636) 779-2700.

What is Tracie Jackson'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 Tracie Jackson was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.