Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Kennon Latrell Tyre III, PHARM.D.

Pharmacist in Waycross, GA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1629068895

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Registry record

Entity type Individual (Type 1)

Name Dr. Kennon Latrell Tyre III

Credential PHARM.D.

Sex Male

Practice address 410 Darling Ave, Pharmacy Department, Waycross, GA, 31501

Phone (912) 287-2640

Fax (912) 287-2642

Enumeration date Oct 27, 2005

Last updated in NPPES Jul 8, 2007

Taxonomy & licenses

183500000X Pharmacist Pharmacy Service Providers · License 18517 (GA) Primary

PHARMD · Doctor of Pharmacy: A licensed pharmacist with a professional doctorate in pharmacy. About the PHARMD credential

Other identifiers

Identifier	Type	State	Issuer
18517	Other	GA	GA LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1629068895 active?

Yes, as of the latest NPPES snapshot, NPI 1629068895 is active (record last updated 2007-07-08).

How do I verify Kennon Tyre's NPI record?

Cross-check NPI 1629068895 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-07-08.