NPI
Laurel Main Street Pharmacy Incorporated
NPI 1023058690
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-06-08
- Last updated
- 2023-09-14
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Specialties
Licenses
- License MD
- P05892
Location
- Practice location
- 667 Main St
- City
- Laurel MD
- Postal code
- 20707-4067
- Phone
- (301) 317-3838
Organization contact
- Name
- Ali Thakkar
- Title
- President
- Phone
- (301) 317-3838
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Laurel, MD. 3,578 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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