Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Old Roswell Holdings LLC

Organization Pharmacy · NPI 1083722151

Old Roswell Holdings LLC is a Pharmacy in Binghamton, New York. Licensed in New York. Registered with an NPI since 2006.

Licensed in
NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1179 Vestal Ave Ste 1
Binghamton, NY 13903-1606
Phone: (607) 723-7585
Fax: (607) 773-0936
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X (NY)
Pharmacy Taxonomy 333600000X · Licence 024755 (NY)

Record details

NPI number1083722151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Eden — Manager · (404) 459-8005
Other names The Medicine Shoppe; The Medicine Shoppe
NPI enumeratedAugust 28, 2006
Last updated in NPPESApril 29, 2025
Certification dateMarch 31, 2025
Mailing address5064 Roswell Rd Ste A200, Atlanta, GA 30342-2252

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