OLD ROSWELL HOLDINGS LLC
NPI 1275346769
Pharmacy - Long Term Care Pharmacy in Binghamton, NY

Active since January 29, 2025
1179 VESTAL AVE STE 2, BINGHAMTON, NY 13903(607) 217-4845(607) 217-5061 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Old Roswell Holdings Llc NPPES

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

OLD ROSWELL HOLDINGS LLC (NPI 1275346769), doing business as Medicine Shoppe 1518, is a healthcare organization registered as a long term care pharmacy in Binghamton, New York and active in the NPI registry since January 2025. The organization lists Tracy Eden, Owner, as its authorized official.

NPPES Registry Identity

NPI1275346769
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameOLD ROSWELL HOLDINGS LLC
Location Address1179 VESTAL AVE STE 2Binghamton, NY 13903-1606
Mailing Address5064 Roswell RdAtlanta, GA 30342-2281 · (404) 459-8005 · Fax (404) 256-5517
Fax(607) 217-5061
Organization SubpartNo
Authorized OfficialTracy EdenOwner · (404) 459-8005
Enumeration DateJanuary 29, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
NPI 1275346769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1179 VESTAL AVE STE 2, Binghamton, NY 13903

Other Names 1

Doing Business AsMedicine Shoppe 1518

Other Providers at the Same Location NPPES 2

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

Pharmacist
1179 VESTAL AVE STE 2
BINGHAMTON, NY 13903
Pharmacist
1179 VESTAL AVE STE 2
BINGHAMTON, NY 13903

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 1275346769. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider is doing business as Medicine Shoppe 1518.

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.

When was this NPI record last updated?

The NPPES record for Old Roswell Holdings LLC was last updated on April 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.