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LAUREL MAIN STREET PHARMACY
NPI 1043968530
Pharmacy - Long Term Care Pharmacy in Laurel, MD

Active since March 14, 2022
667 MAIN ST, LAUREL, MD 20707(301) 317-3838(301) 317-3637 Get Directions Write a Review

NPPES record last updated: May 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2025, Jun 7, 2023, May 31, 2023 (3 updates tracked since 2023).

About Laurel Main Street Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREL MAIN STREET PHARMACY (NPI 1043968530), doing business as Main Street Pharmacy, is a healthcare organization registered as a long term care pharmacy in Laurel, Maryland and active in the NPI registry since March 2022. The organization lists Ali H Thakkar, Owner, as its authorized official.

NPPES Registry Identity

NPI1043968530
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameLAUREL MAIN STREET PHARMACY
Location Address667 MAIN STLaurel, MD 20707-4067
Mailing Address667 Main StLaurel, MD 20707-4067 · (301) 317-3838 · Fax (301) 317-3637
Phone(301) 317-3838
Fax(301) 317-3637
Organization SubpartNo
Authorized OfficialAli H ThakkarOwner · (301) 317-3838
Enumeration DateMarch 14, 2022
Last NPPES UpdateMay 20, 20253 updates tracked since enumeration
NPPES CertifiedMay 20, 2025
✔ NPI 1043968530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
667 MAIN ST, Laurel, MD 20707
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Other Names 1

Doing Business AsMain Street Pharmacy

Other Identifiers 3

Medicaid443806000MD
Medicaid037359100DC
Medicaid336716900MD

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREL MAIN STREET PHARMACY INCORPORATED
Pharmacy (Community/Retail Pharmacy)
667 MAIN ST
LAUREL, MD 20707
Prince George's County (301) 317-3838
JIN WON PARK
Pharmacist
667 MAIN ST
LAUREL, MD 20707
Prince George's County (301) 317-3838
LAUREL MAIN STREET PHARMACY INCORPORATED
Pharmacist
667 MAIN ST
LAUREL, MD 20707
Prince George's County (301) 317-3838

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 Laurel Main Street Pharmacy's NPI number?

The NPI number for Laurel Main Street Pharmacy is 1043968530. It was assigned to this organization in the NPPES registry on March 14, 2022. The provider is doing business as Main Street Pharmacy.

Where is Laurel Main Street Pharmacy located?

Laurel Main Street Pharmacy is located at 667 Main St, Laurel, MD 20707. The listed phone number is (301) 317-3838.

What is Laurel Main Street Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

When was this NPI record last updated?

The NPPES record for Laurel Main Street Pharmacy was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.