Laurel Main Street Pharmacy Incorporated
Community/Retail Pharmacy
667 Main St, Laurel
Maryland, 20707-4067
301-317-3838 301-317-3637
Laurel Main Street Pharmacy Incorporated is a Community/Retail Pharmacy in Laurel, Maryland. It is located at 667 Main St, Laurel and it's customer support contact number is 301-317-3838. The authorized person of Laurel Main Street Pharmacy Incorporated is Mr. Ali H Thakkar, PHARM-D who is President of the pharmacy and his contact number is 301-317-3838. Active license number of Laurel Main Street Pharmacy Incorporated is P05892 for Community/Retail Pharmacy in Maryland. Laurel Main Street Pharmacy Incorporated accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Laurel Main Street Pharmacy Incorporated is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Laurel Main Street Pharmacy Incorporated type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Laurel Main Street Pharmacy Incorporated |
| Type: | Community/Retail Pharmacy |
| Location: | 667 Main St, Laurel,
Maryland, 20707-4067 |
| Phone: | 301-317-3838 |
| Fax: | 301-317-3637 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Ali H Thakkar |
| Credentials: | PHARM-D |
| Position: | President |
| Contact Number: | 301-317-3838 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1023058690 |
| NPI Enumeration Date: | 08 Jun, 2006 |
| NPI Last Update On: | 14 Sep, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Laurel Main Street Pharmacy Incorporated are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | P05892 | Maryland | Primary | |
| Long Term Care Pharmacy | | | Secondary | |
| Primary Care | | | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Clinic Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0029793 | Medicaid | Maryland | |
| 4097696 | Medicaid | Maryland | |
Medicare Enrollment:
Laurel Main Street Pharmacy Incorporated is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0840368916 | O20081003000141 | Laurel Main Street Pharmacy Incorporated | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 0840368916 | O20100930087811 | Laurel Main Street Pharmacy Incorporated | DME SUPPLIER - PHARMACY |
Products Available:
Laurel Main Street Pharmacy Incorporated has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Orthoses: Off-the-shelf |
| • Ostomy Supplies | • Surgical Dressings |
| • Urological Supplies | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 667 Main St,
Laurel, Maryland |
| Zip: | 20707-4067 |
| Phone Number: | 301-317-3838 |
| Fax Number: | 301-317-3637 |
Patients can reach Laurel Main Street Pharmacy Incorporated at
667 Main St, Laurel, Maryland or can
call on customer care at 301-317-3838.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.