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MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
NPI 1659625580
Pharmacy - Long Term Care Pharmacy in Elizabethtown, PA

Active since October 30, 2012
1 MASONIC DR, ELIZABETHTOWN, PA 17022(717) 367-1121(717) 367-5813 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Masonic Villages Of The Grand Lodge Of Pennsylvania NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA (NPI 1659625580), doing business as Masonic Village Pharmacy, is a healthcare organization registered as a long term care pharmacy in Elizabethtown, Pennsylvania and active in the NPI registry since October 2012. The organization lists Pamela Formica, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1659625580
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMASONIC VILLAGES OF THE GRAND LODGE OF PENNSYLVANIA
Location Address1 MASONIC DRElizabethtown, PA 17022-2199
Mailing Address99 Masonic DrElizabethtown, PA 17022-2573 · (717) 367-1121 · Fax (717) 367-5813
Phone(717) 367-1121
Fax(717) 367-5813
Organization SubpartNo
Authorized OfficialPamela FormicaChief Financial Officer · (717) 367-1121
Enumeration DateOctober 30, 2012
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1659625580 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 · HP416534L
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 ListedPharmacy · Institutional PharmacyTaxonomy 3336I0012X · License HP416534L (PA)
1 MASONIC DR, Elizabethtown, PA 17022
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Other Names 1

Doing Business AsMasonic Village Pharmacy

Other Identifiers 2

Other3998741Ncpdp
OtherHP416534LPA · Pharmacy License

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 Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

DR. KIM NGUYEN KIRK D.M.D.
Dentist (General Practice)
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MS. HOLLIS ANITA BURRELL
Physical Therapy Assistant
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
LORI ANN GERHART PT
Physical Therapist
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MRS. KRISTINA NICOLE SMITH COTA/L
Occupational Therapy Assistant
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
JENNIFER FRY OTR/L
Occupational Therapist
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MRS. KAILEY LEHMAN MA CCC-SLP
Speech-Language Pathologist
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 330-2031
MRS. ASHLEY SHELLENBERGER
Physical Therapy Assistant
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121
MARIE ELIZABETH GRUBE PTA
Physical Therapy Assistant
1 MASONIC DR
ELIZABETHTOWN, PA 17022
Lancaster County (717) 367-1121

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 Masonic Villages Of The Grand Lodge Of Pennsylvania's NPI number?

The NPI number for Masonic Villages Of The Grand Lodge Of Pennsylvania is 1659625580. It was assigned to this organization in the NPPES registry on October 30, 2012. The provider is doing business as Masonic Village Pharmacy.

Where is Masonic Villages Of The Grand Lodge Of Pennsylvania located?

Masonic Villages Of The Grand Lodge Of Pennsylvania is located at 1 Masonic Dr, Elizabethtown, PA 17022. The listed phone number is (717) 367-1121.

What is Masonic Villages Of The Grand Lodge Of Pennsylvania's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Masonic Villages Of The Grand Lodge Of Pennsylvania accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Masonic Villages Of The Grand Lodge Of Pennsylvania 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 Masonic Villages Of The Grand Lodge Of Pennsylvania was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.