OLD ROSWELL HOLDINGS LLC
NPI 1669285151
Pharmacy - Long Term Care Pharmacy in Mechanicsburg, PA

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

The NPI number for Old Roswell Holdings LLC is 1669285151. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider is doing business as Medicine Shoppe 2009.

Q: 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.

Active since January 29, 2025

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

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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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 1669285151), doing business as Medicine Shoppe 2009, is a healthcare organization registered as a long term care pharmacy in Mechanicsburg, Pennsylvania and active in the NPI registry since January 2025. The organization lists Tracy Eden, Owner, as its authorized official.

NPPES Registry Identity

NPI1669285151

Entity TypeOrganization

Primary Taxonomy3336L0003X

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 EdenOwner · (404) 459-8005

Enumeration DateJanuary 29, 2025

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1669285151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

5225 WILSON LN, Mechanicsburg, PA 17055

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Other Names 1

Doing Business AsMedicine Shoppe 2009

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