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YOUR CORNER DRUGSTORE
NPI 1629433529
Pharmacy - Community/Retail Pharmacy in Macon, GA

Active since December 18, 2015
4260 LOG CABIN DR STE C, MACON, GA 31204(478) 254-8484(478) 254-8020 Get Directions Write a Review

NPPES record last updated: April 19, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2017, Nov 22, 2016, Apr 1, 2016 and 1 more (4 updates tracked since 2015).

About Your Corner Drugstore NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

YOUR CORNER DRUGSTORE (NPI 1629433529) is a healthcare organization registered as a community/retail pharmacy in Macon, Georgia and active in the NPI registry since December 2015. The organization lists Matthew Frazier, Owner, as its authorized official.

NPPES Registry Identity

NPI1629433529
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameYOUR CORNER DRUG STORE LLC
Location Address4260 LOG CABIN DR STE CMacon, GA 31204-4852
Mailing Address104 Lorraine Forest CtMacon, GA 31210-5316 · (478) 994-1189
Phone(478) 254-8484
Fax(478) 254-8020
Organization SubpartNo
Authorized OfficialMatthew FrazierOwner · (478) 254-8484
Enumeration DateDecember 18, 2015
Last NPPES UpdateApril 19, 20174 updates tracked since enumeration
✔ NPI 1629433529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in GA · PHRE010205
Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
4260 LOG CABIN DR STE C, Macon, GA 31204
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Other Names 1

Doing Business AsYour Corner Drugstore

Other Identifiers 2

Other2156014Pk
Medicaid003173406AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Frequently Asked Questions

What is YOUR CORNER DRUG STORE LLC's NPI number?

The NPI number assigned to this healthcare provider is 1629433529, enumerated as an "organization" on December 18, 2015.

Where is the provider located?

The provider is located at 4260 LOG CABIN DR STE C MACON, GA 31204 and the phone number is (478) 254-8484.

What is the provider's specialty?

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

What insurance does YOUR CORNER DRUG STORE LLC accept?

The provider might be accepting Accepts: Medica, Moda Health Plan, Inc., Medicare and. Please consult your insurance carrier or call the provider to verify.