Tracy Jennings, RPH
Individual provider Active NPI Pharmacist · Fort Mitchell, KY
NPI 1407216153 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1407216153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 011001 (KY)
- Practice address
- 2150 Dixie Hwy
Fort Mitchell, KY 41017-2902 - Phone
- (859) 331-0078
- Fax
- (859) 331-3478
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011001 | KY | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011001 | KY | Yes |
Addresses
Primary practice location
2150 Dixie Hwy
Fort Mitchell, KY 41017-2902
Mailing address
10 Barrington Rd
Ft Wright, KY 41011-2604
Phone (859) 331-1272
Other providers in Fort Mitchell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.