OrganizationActive
Laurel Main Street Pharmacy Incorporated
NPI 1477558112 · Pharmacist · Laurel, MD
Provider details
- NPI number
- 1477558112
- Entity type
- Organization
- Primary specialty
- PharmacistPharmacy Service Providers
- Organization subpart
- No
- Authorized official
- Ali Thakkar, Owner(301) 317-3838
Specialties & taxonomies
Pharmacy Service Providers
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(95/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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.
Practice location
667 Main St
Laurel, MD 20707-4067
Phone: (301) 317-3838
Fax: (301) 317-3637
Street-level locationGet directions
Mailing address
667 Main St
Laurel, MD 20707-4067
Other names (DBA / former)
- Doing business as
- Main Street Pharmacy
- Doing business as
- Main Street Pharmacy
Additional practice locations (1)
- 653 Main StLaurel, MD 20707-4067Phone: (301) 317-3838Fax: (301) 317-3637
Registry dates
- Enumerated
- 2005-06-18
- Last updated
- 2023-09-14
- Certified
- 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.