1. Home
  2. Directory
  3. New York
  4. Binghamton
  5. Pharmacy
  6. NPI Profile

OLD ROSWELL HOLDINGS LLC
NPI 1992518484
Pharmacy - Community/Retail Pharmacy in Binghamton, NY

Active since January 29, 2025
1179 VESTAL AVE STE 1, BINGHAMTON, NY 13903(607) 723-7585(607) 773-0936 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 09, 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 1992518484), doing business as Medicine Shoppe 1517, is a healthcare organization registered as a community/retail 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

NPI1992518484
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameOLD ROSWELL HOLDINGS LLC
Location Address1179 VESTAL AVE STE 1Binghamton, NY 13903-1606
Mailing Address5064 Roswell RdAtlanta, GA 30342-2281 · (404) 459-8005 · Fax (404) 256-5517
Phone(607) 723-7585
Fax(607) 773-0936
Organization SubpartNo
Authorized OfficialTracy EdenOwner · (404) 459-8005
Enumeration DateJanuary 29, 2025
Last NPPES UpdateApril 23, 2025
NPPES CertifiedApril 23, 2025
✔ NPI 1992518484 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
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
1179 VESTAL AVE STE 1, Binghamton, NY 13903
Open in Google Maps ↗

Other Names 1

Doing Business AsMedicine Shoppe 1517

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.

OLD ROSWELL HOLDINGS LLC
Pharmacy (Long Term Care Pharmacy)
1179 VESTAL AVE STE 1
BINGHAMTON, NY 13903
Broome County (607) 723-7585
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

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 1992518484. It was assigned to this organization in the NPPES registry on January 29, 2025. The provider is doing business as Medicine Shoppe 1517.

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 Community/Retail Pharmacy, with taxonomy code 3336C0003X.

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 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.