Dr Kennon Latrell Tyre Iii, PHARMD - Pharmacist in Waycross, GA

Dr Kennon Latrell Tyre Iii, PHARMD is a Pharmacist based in Waycross, Georgia. Dr Kennon Latrell Tyre Iii is licensed to practice in Georgia (license number 18517) and his current practice location is 410 Darling Ave, Pharmacy Department, Waycross, Georgia. He can be reached at his office (for appointments etc.) via phone at (912) 287-2640.

NPI number for Dr Kennon Latrell Tyre Iii is 1629068895 and his current mailing address is 937 Dogwood Dr, Blackshear, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629068895.

Contact Information

Dr Kennon Latrell Tyre Iii, PHARMD
410 Darling Ave, Pharmacy Department,
Waycross, GA 31501-5246
(912) 287-2640
(912) 287-2642

Map and Direction


Healthcare Provider's Profile

Full NameDr Kennon Latrell Tyre Iii
GenderMale
SpecialityPharmacist
Location410 Darling Ave, Waycross, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629068895
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kennon Latrell Tyre Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629068895NPI-NPPES
18517OtherGAGA LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist 18517 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kennon Latrell Tyre Iii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kennon Latrell Tyre Iii, PHARMD
937 Dogwood Dr,
Blackshear, GA 31516-2302

Ph: (912) 449-8634
Dr Kennon Latrell Tyre Iii, PHARMD
410 Darling Ave, Pharmacy Department,
Waycross, GA 31501-5246

Ph: (912) 287-2640

Reviews and Comments


Pharmacist in Waycross, GA

Dr. Jamie Lynn Adams, PHARM.D,
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Medicare: Not Enrolled in Medicare
Practice Location: 1803 Knight Ave, Waycross, GA 31501
Phone: 912-285-4630    
Lauren Elizabeth Lee,
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Medicare: Not Enrolled in Medicare
Practice Location: 2425 Memorial Dr, Waycross, GA 31503
Phone: 912-285-3939    
Evan Darwin Anderson,
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Practice Location: 1740 Memorial Dr, Waycross, GA 31501
Phone: 912-338-9127    Fax: 912-338-9847
Dr. Jason Ted Wade, PHARMD
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1606 Memorial Dr, Waycross, GA 31501
Phone: 912-287-2277    Fax: 912-287-0571
Anna Grace Mcleod, PHARM. D.
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1401 Alice St, Waycross, GA 31501
Phone: 912-283-1646    
Don Michael Shepherd, RPH
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Medicare: Not Enrolled in Medicare
Practice Location: 1803 Knight Ave, Waycross, GA 31501
Phone: 912-285-4630    Fax: 912-283-8929
Shelby Rumker,
Pharmacist
Medicare: Not Enrolled in Medicare
Practice Location: 1800 Brunswick Hwy, Waycross, GA 31501
Phone: 912-285-2171    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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