IndividualActive
Kennon Tyre, PHARM.D.
NPI 1629068895 · Pharmacist · Waycross, GA
Kennon Tyre, PHARM.D. is a Pharmacist provider in Waycross, GA (NPI 1629068895).
Provider details
- NPI number
- 1629068895
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- License
- 18517 (GA)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
410 Darling Ave
Pharmacy Department
Waycross, GA 31501-5246
Phone: (912) 287-2640
Fax: (912) 287-2642
Street-level locationGet directions
Mailing address
937 Dogwood Dr
Blackshear, GA 31516-2302
Registry dates
- Enumerated
- 2005-10-27
- Last updated
- 2007-07-08
Frequently asked questions
- What is Kennon Tyre's NPI number?
- Kennon Tyre's National Provider Identifier (NPI) is 1629068895, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kennon Tyre's specialty?
- Kennon Tyre is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Kennon Tyre located?
- Kennon Tyre's practice location on file with NPPES is 410 Darling Ave, Waycross, GA 31501-5246.
- What is Kennon Tyre's phone number?
- The practice phone number listed in the NPPES registry for Kennon Tyre is (912) 287-2640.
- Is Kennon Tyre's NPI active?
- Yes — Kennon Tyre's NPI (1629068895) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.