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OLD ROSWELL HOLDINGS LLC
NPI 1619240025
Pharmacy - Long Term Care Pharmacy in Camp Hill, PA

Active since February 15, 2012
3913 HARTZDALE DR, SUITE 1306, CAMP HILL, PA 17011(717) 766-6191(717) 691-1052 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 24, 2020, Jan 2, 2020, May 10, 2018 and 1 more (4 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 1619240025), doing business as Medicine Shoppe, is a healthcare organization registered as a long term care pharmacy in Camp Hill, Pennsylvania and active in the NPI registry since February 2012. The organization lists Tracy Eden, Manager, as its authorized official.

NPPES Registry Identity

NPI1619240025
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameOLD ROSWELL HOLDINGS LLC
Location Address3913 HARTZDALE DR, SUITE 1306Camp Hill, PA 17011-7845
Mailing Address5064 Roswell Rd Ste A200Atlanta, GA 30342-2252 · (404) 459-8005 · Fax (404) 259-5517
Phone(717) 766-6191
Fax(717) 691-1052
Organization SubpartNo
Authorized OfficialTracy EdenManager · (404) 459-8005
Enumeration DateFebruary 15, 2012
Last NPPES UpdateApril 29, 20254 updates tracked since enumeration
NPPES CertifiedMarch 31, 2025
✔ NPI 1619240025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in PA · PP481575
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
3913 HARTZDALE DR, Camp Hill, PA 17011
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicine Shoppe

Other Identifiers 1

Medicaid0018224450018PA

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 Arkansas Health & Wellness and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 9

Medicare supplier enrollment and the product categories Medicine Shoppe 1982 carries, from the Medicare DMEPOS supplier directory.

Medicine Shoppe 1982

DMEPOS supplier · Camp Hill, PAOperated by Cl Cressler Inc
✔

Accepts Medicare assignment

Medicine Shoppe 1982 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)20558333
Medicare Participant SinceApril 1, 2008
Supplier Location3913 Hartzdale Dr Ste 1306Camp Hill, PA 17011
Phone(717) 695-9082
Supplier Specialties
Pharmacy

Medicare Product Categories

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
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
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 3

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

PATRICK JOSEPH LAUGHLIN R PH
Pharmacist (Geriatric)
3913 HARTZDALE DR, SUITE 1306
CAMP HILL, PA 17011
Cumberland County (717) 695-9082
DEREK PASKAITIS RPH
Pharmacist
3913 HARTZDALE DR, SUITE 1306
CAMP HILL, PA 17011
Cumberland County (717) 695-9082
ALLISON GOVERN
Pharmacist
3913 HARTZDALE DR, SUITE 1306
CAMP HILL, PA 17011
Cumberland County (717) 695-9082

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 1619240025. It was assigned to this organization in the NPPES registry on February 15, 2012. The provider is doing business as Medicine Shoppe.

Where is Old Roswell Holdings LLC located?

Old Roswell Holdings LLC is located at 3913 Hartzdale Dr Suite 1306, Camp Hill, PA 17011. The listed phone number is (717) 766-6191.

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.

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

Yes. As a Medicare medical equipment supplier, Medicine Shoppe 1982 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 from Absolute Total Care, Ambetter from Arkansas Health & Wellness and Ambetter from Buckeye Health Plan and 36 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 18 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.