Laurel Main Street Pharmacy Incorporated
NPI 1477558112ActiveOrganization· Pharmacist· Laurel, MD
Pharmacist in Laurel, Maryland, registered in NPPES in June 2005. The authorized official on file is Ali H. Thakkar, Owner.
Overview
| NPI | 1477558112 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 18, 2005 |
| Last updated in NPPES | Sep 14, 2023 |
| Certified by provider | Sep 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | 16959 | MD |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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