Individual provider Active NPI

Tracy Elaine Jerningan, PHARMD

  • Pharmacist
  • Dyersburg, TN
National Provider Identifier
1144133810
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
40164 Issued in TN
Practice address
450 US Highway 51 Byp N
Dyersburg, TN 38024-3655
Phone
(731) 882-7000
NPI assigned
Sep 24, 2026
Last updated
Sep 24, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 40164 TN Primary

Addresses

Primary practice location

450 US Highway 51 Byp N
Dyersburg, TN 38024-3655

Mailing address

18 Ohara LN
Jackson, TN 38305-1976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1144133810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OHARA LN",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 US HIGHWAY 51 BYP N",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243655",
            "telephone_number": "731-882-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNINGAN",
        "first_name": "TRACY",
        "middle_name": "ELAINE",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-24",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "40164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.