Laurel Main Street Pharmacy Incorporated
NPI 1023058690 · Community/Retail Pharmacy · Laurel, MD
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurel Main Street Pharmacy Incorporated is a Community/Retail Pharmacy organization in Laurel, MD (NPI 1023058690).
Provider details
- NPI number
- 1023058690
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Ali Thakkar, President(301) 317-3838
Specialties & taxonomies
Suppliers
- Long Term Care Pharmacy3336L0003X
Suppliers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
161 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Administration of Influenza Virus VaccineG0008 | 82 | $34 |
| Admn Sarscov2 Vacc 1 Dose90480 | 79 | $47 |
Typical Medicare-allowed amounts for these services range $34–$47 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 667 Main StLaurel, MD 20707-4067Phone: (301) 317-3838Fax: (301) 317-3637
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2023-09-14
- Certified
- 2023-09-14
Frequently asked questions
- What is Laurel Main Street Pharmacy Incorporated's NPI number?
- Laurel Main Street Pharmacy Incorporated's National Provider Identifier (NPI) is 1023058690, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Laurel Main Street Pharmacy Incorporated?
- Laurel Main Street Pharmacy Incorporated is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Laurel Main Street Pharmacy Incorporated located?
- Laurel Main Street Pharmacy Incorporated's practice location on file with NPPES is 667 Main St, Laurel, MD 20707-4067.
- What is Laurel Main Street Pharmacy Incorporated's phone number?
- The practice phone number listed in the NPPES registry for Laurel Main Street Pharmacy Incorporated is (301) 317-3838.
- Does Laurel Main Street Pharmacy Incorporated accept Medicare?
- Laurel Main Street Pharmacy Incorporated is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Laurel Main Street Pharmacy Incorporated?
- The authorized official listed on Laurel Main Street Pharmacy Incorporated's NPPES record is Ali Thakkar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Laurel Main Street Pharmacy Incorporated's NPI active?
- Yes — Laurel Main Street Pharmacy Incorporated's NPI (1023058690) is active in the NPPES registry as of the last update on 2023-09-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.