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OLD ROSWELL HOLDINGS LLC
NPI 1124136296
Pharmacy - Long Term Care Pharmacy in Binghamton, NY

Active since August 28, 2006
1179 VESTAL AVE, STE. 2, BINGHAMTON, NY 13903(607) 217-4845(607) 217-5061 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 (3 updates tracked since 2016).

About Old Roswell Holdings Llc NPPES

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

OLD ROSWELL HOLDINGS LLC (NPI 1124136296), doing business as The Medicine Shoppe, is a healthcare organization registered as a long term care 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

NPI1124136296
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameOLD ROSWELL HOLDINGS LLC
Location Address1179 VESTAL AVE, STE. 2Binghamton, NY 13903-1606
Mailing Address5064 Roswell Rd Ste A200Atlanta, GA 30342-2252 · (404) 459-8005 · Fax (404) 256-5517
Phone(607) 217-4845
Fax(607) 217-5061
Organization SubpartNo
Authorized OfficialTracy EdenManager · (404) 459-8005
Enumeration DateAugust 28, 2006
Last NPPES UpdateApril 29, 20253 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1124136296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in NY · 027659
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.
1179 VESTAL AVE, Binghamton, NY 13903
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Other Names 1

Doing Business AsThe Medicine Shoppe

Other Identifiers 2

Medicaid02728792NY
Other3327601NY · Ncpdp #

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.
59 services59 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.
54 services54 patients

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 (Community/Retail Pharmacy)
1179 VESTAL AVE, STE. 1
BINGHAMTON, NY 13903
Broome County (607) 723-7585

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 1124136296. 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. 2, Binghamton, NY 13903. The listed phone number is (607) 217-4845.

What is Old Roswell Holdings LLC's specialty?

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

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 46 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.