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

Dr. Kennon Latrell Tyre III, PHARMD

Individual provider Pharmacist · NPI 1629068895

Dr. Kennon Latrell Tyre III, PHARMD is a Pharmacist in Waycross, Georgia. Licensed in Georgia. Registered with an NPI since 2005.

Licensed in
GA
In the registry since
2005
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

410 Darling Ave Pharmacy Dept
Waycross, GA 31501-5246
Phone: (912) 287-2640
Fax: (912) 287-2642
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 18517 (GA)

Record details

NPI number1629068895
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorNo
NPI enumeratedOctober 27, 2005
Last updated in NPPESJuly 13, 2026

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