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OLD ROSWELL HOLDINGS LLC
NPI 1215406939
Pharmacy - Long Term Care Pharmacy in Binghamton, NY

Active since November 26, 2018
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 16, 2026.

Record update history: Jan 2, 2020, Nov 26, 2018 (2 updates tracked since 2018).

About Old Roswell Holdings Llc NPPES

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

OLD ROSWELL HOLDINGS LLC (NPI 1215406939), 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 November 2018. The organization lists Tracy Eden, Manager, as its authorized official.

NPPES Registry Identity

NPI1215406939
Entity TypeOrganization
Primary Taxonomy3336L0003X
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 SubpartYesParent: C L Cressler Inc
Authorized OfficialTracy EdenManager · (404) 459-8005
Enumeration DateNovember 26, 2018
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1215406939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
1179 VESTAL AVE STE 1, Binghamton, NY 13903
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Other Names 1

Doing Business AsThe Medicine Shoppe

Other Identifiers 1

Medicaid02734325NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

NICOLAS FANTINI
Pharmacist
1179 VESTAL AVE STE 1
BINGHAMTON, NY 13903
Broome County (607) 723-7585
AVENELLE K JOHNSON RPH
Pharmacist
1179 VESTAL AVE STE 1
BINGHAMTON, NY 13903
Broome County (607) 723-7584
OLD ROSWELL HOLDINGS LLC
Pharmacy (Long Term Care Pharmacy)
1179 VESTAL AVE STE 1
BINGHAMTON, NY 13903
Broome County (607) 723-7585
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 1215406939. It was assigned to this organization in the NPPES registry on November 26, 2018. 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 Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Old Roswell Holdings LLC accept?

Health plans from Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Avera Health Plans, Baylor Scott and White Health Plan and Blue Cross Blue Shield of North Dakota and 13 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.