Old Roswell Holdings Llc
Community/Retail Pharmacy
1179 Vestal Ave, Ste. 1, Binghamton
New York, 13903-1606
607-723-7585 607-773-0936
Old Roswell Holdings Llc is a Community/Retail Pharmacy in Binghamton, New York. It is located at 1179 Vestal Ave, Ste. 1, Binghamton and it's customer support contact number is 607-723-7585. The authorized person of Old Roswell Holdings Llc is Tracy Eden who is Manager of the pharmacy and his contact number is 404-459-8005. Old Roswell Holdings Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Old Roswell Holdings Llc is 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.
Pharmacy Details:
Old Roswell Holdings Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Old Roswell Holdings Llc |
| Type: | Community/Retail Pharmacy |
| Location: | 1179 Vestal Ave, Ste. 1, Binghamton,
New York, 13903-1606 |
| Phone: | 607-723-7585 |
| Fax: | 607-773-0936 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Tracy Eden |
| Position: | Manager |
| Contact Number: | 404-459-8005 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1083722151 |
| NPI Enumeration Date: | 28 Aug, 2006 |
| NPI Last Update On: | 29 Apr, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Old Roswell Holdings Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | | New York | Primary | |
| Pharmacy | 024755 | New York | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3327637 | Other | New York | Ncpdp # |
| 02734325 | Medicaid | New York | |
Medicare Enrollment:
Old Roswell Holdings Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6002994696 | O20090622000252 | Cl Cressler Inc | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 6002994696 | O20100930011782 | Cl Cressler Inc | DME SUPPLIER - PHARMACY |
Products Available:
Old Roswell Holdings Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Infusion Pumps & Supplies: Insulin Infusion |
| • Nebulizer Equipment & Supplies | • Urological Supplies |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5064 Roswell Rd Ste A200,
Atlanta, Georgia |
| Zip: | 30342-2252 |
| Phone Number: | 404-459-8005 |
| Fax Number: | 404-256-5517 |
Patients can reach Old Roswell Holdings Llc at
1179 Vestal Ave, Ste. 1, Binghamton, New York or can
call on customer care at 607-723-7585.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.