A system and method provides for a pneumatic tube carrier tracking system having a system control module that captures and presents tracking information associated with sending and receiving carriers. The pneumatic tube carrier tracking system comprises sending and receiving stations connected by pneumatic tubing, and which are configured to securely send carriers, with receiving users optionally being restricted from unauthorized access of carriers. The sending and receiving stations have identifying tag readers configured to scan identifier tags to read carrier delivery, carrier receipt and receiving user information. Destination and intended recipient information are entered at the sending station when sending a carrier and are transmitted to a system control module, which routably delivers and secures the carriers in response the destination and intended recipient information.