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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: August 30, 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 NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Your Corner Drug Store LLC's NPI number?

The NPI number for Your Corner Drug Store LLC is 1629433529. It was assigned to this organization in the NPPES registry on December 18, 2015. The provider is doing business as Your Corner Drugstore.

Where is Your Corner Drug Store LLC located?

Your Corner Drug Store LLC is located at 4260 Log Cabin Dr Ste C, Macon, GA 31204. The listed phone number is (478) 254-8484.

What is Your Corner Drug Store LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Your Corner Drug Store LLC accept?

Health plans from Medica and Moda Health Plan, Inc. list Your Corner Drug Store LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Your Corner Drug Store LLC was last updated on April 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.