OLD ROSWELL HOLDINGS LLC
NPI 1083722151
Pharmacy - Community/Retail Pharmacy in Binghamton, NY

Q: What is Old Roswell Holdings LLC's NPI number?

The NPI number for Old Roswell Holdings LLC is 1083722151. It was assigned to this organization in the NPPES registry on August 28, 2006. The provider is doing business as The Medicine Shoppe.

Q: What is Old Roswell Holdings LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since August 28, 2006

1179 VESTAL AVE, STE. 1, BINGHAMTON, NY 13903(607) 723-7585(607) 773-0936 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jan 2, 2020, Aug 10, 2016 and 1 more (4 updates tracked since 2016).

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About Old Roswell Holdings Llc NPPES

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

OLD ROSWELL HOLDINGS LLC (NPI 1083722151), doing business as The Medicine Shoppe, is a healthcare organization registered as a community/retail pharmacy in Binghamton, New York and active in the NPI registry since August 2006. The organization lists Tracy Eden, Manager, as its authorized official.

NPPES Registry Identity

NPI1083722151

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameOLD ROSWELL HOLDINGS LLC

Location Address1179 VESTAL AVE, STE. 1Binghamton, NY 13903-1606

Mailing Address5064 Roswell Rd Ste A200Atlanta, GA 30342-2252 · (404) 459-8005 · Fax (404) 256-5517

Phone(607) 723-7585

Fax(607) 773-0936

Organization SubpartNo

Authorized OfficialTracy EdenManager · (404) 459-8005

Enumeration DateAugust 28, 2006

Last NPPES UpdateApril 29, 20254 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1083722151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

Definition

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.

Also ListedPharmacyTaxonomy 333600000X · License 024755 (NY)

1179 VESTAL AVE, Binghamton, NY 13903

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Other Names 1

Doing Business AsThe Medicine Shoppe

Other Identifiers 2

Other3327637NY · Ncpdp #

Medicaid02734325NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

121 services119 patients

Influenza vaccine, inactivated 90653

The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.

97 services97 patients

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Medicine Shoppe carries, from the Medicare DMEPOS supplier directory.

Medicine Shoppe

DMEPOS supplier · Binghamton, NYOperated by Cl Cressler Inc

✔

Accepts Medicare assignment

Medicine Shoppe agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20558399

Medicare Participant SinceApril 1, 2008

Supplier Location1179 Vestal Avenue Suite 1Binghamton, NY 13903

Phone(607) 723-7585

Supplier Specialties

Certified Other Pharmacy

Medicare Product Categories

Blood Glucose Monitors/Supplies (Non-Mail Order)

Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device

Implanted Infusion Pumps and/or Supplies

Implantable infusion pumps, catheters, refill kits

Urological Supplies

Catheters, Urinary collection devices

Nebulizer Equipment and/or Supplies

Nebulizers, Atomizers, Filters

Diabetic Shoes and Inserts

Shoes, Socks, Insoles

Diabetic Shoes/Inserts - Custom

Custom fabricated shoes, socks, & insoles

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

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

OLD ROSWELL HOLDINGS LLC

Pharmacy (Long Term Care Pharmacy)

1179 VESTAL AVE, STE. 2
BINGHAMTON, NY 13903

Broome County (607) 217-4845

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 Old Roswell Holdings LLC's NPI number?

The NPI number for Old Roswell Holdings LLC is 1083722151. It was assigned to this organization in the NPPES registry on August 28, 2006. The provider is doing business as The Medicine Shoppe.

Where is Old Roswell Holdings LLC located?

Old Roswell Holdings LLC is located at 1179 Vestal Ave Ste. 1, Binghamton, NY 13903. The listed phone number is (607) 723-7585.

What is Old Roswell Holdings LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Old Roswell Holdings LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Medicine Shoppe accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Old Roswell Holdings LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Old Roswell Holdings LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Old Roswell Holdings LLC was last updated on April 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.