OLD ROSWELL HOLDINGS LLC
NPI 1285058651
Pharmacy - Community/Retail Pharmacy in Mechanicsburg, PA

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

The NPI number for Old Roswell Holdings LLC is 1285058651. It was assigned to this organization in the NPPES registry on February 6, 2014. The provider is doing business as The Medicine Shoppe Pharmacy.

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 February 06, 2014

5225 WILSON LN, MECHANICSBURG, PA 17055(717) 516-3103(717) 516-3104 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 29, 2020, Jan 2, 2020, Jul 19, 2018 and 3 more (6 updates tracked since 2015).

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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 1285058651), doing business as The Medicine Shoppe Pharmacy, is a healthcare organization registered as a community/retail pharmacy in Mechanicsburg, Pennsylvania and active in the NPI registry since February 2014. The organization lists Tracy Eden, Manager, as its authorized official.

NPPES Registry Identity

NPI1285058651

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameOLD ROSWELL HOLDINGS LLC

Location Address5225 WILSON LNMechanicsburg, PA 17055-6663

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

Phone(717) 516-3103

Fax(717) 516-3104

Organization SubpartNo

Authorized OfficialTracy EdenManager · (404) 459-8005

Enumeration DateFebruary 6, 2014

Last NPPES UpdateApril 29, 20256 updates tracked since enumeration

NPPES CertifiedMarch 31, 2025

✔ NPI 1285058651 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in PA · PP481129

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 ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

Also ListedPharmacyTaxonomy 333600000X

Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X

5225 WILSON LN, Mechanicsburg, PA 17055

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Other Names 1

Doing Business AsThe Medicine Shoppe Pharmacy

Other Identifiers 1

Other2144834Pk

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.

52 services52 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.

50 services50 patients

Medical Equipment Supplier Medicare DMEPOS 12

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

The Medicine Shoppe

DMEPOS supplier · Mechanicsburg, PAOperated by Cl Cressler Inc

✔

Accepts Medicare assignment

The 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)20558327

Medicare Participant SinceApril 1, 2008

Supplier Location5225 Wilson LnMechanicsburg, PA 17055

Phone(717) 516-3103

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

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 18

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

MRS. DANA MICHELE STUBBLEBINE OTR

Occupational Therapist