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Laurel Main Street Pharmacy Incorporated

Community/Retail Pharmacy in Laurel, MD · enumerated 2006 · authorized official Ali Thakkar, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1023058690

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Registry record

Entity type Organization (Type 2)
Legal business name Laurel Main Street Pharmacy Incorporated
Practice address 667 Main St, Laurel, MD, 20707
Fax (301) 317-3637
Enumeration date Jun 8, 2006
Last updated in NPPES Sep 14, 2023

Taxonomy & classification

261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Secondary
332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0002X Clinic Pharmacy Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License P05892 (MD) Primary
3336L0003X Long Term Care Pharmacy Suppliers Secondary

Authorized official

Name Ali Thakkar
Title President

Other identifiers

Identifier Type State Issuer
0029793 Medicaid MD -
4097696 Medicaid MD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Laurel Main Street Pharmacy Incorporated?
The NPI for Laurel Main Street Pharmacy Incorporated is 1023058690, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Laurel Main Street Pharmacy Incorporated?
NPPES lists Ali Thakkar (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-14.