Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Masonic Villages of the Grand Lodge of Pennsylvania

Long Term Care Pharmacy in Elizabethtown, PA · enumerated 2012 · authorized official Pamela Formica, Chief Financial Officer.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1659625580

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Registry record

Entity type Organization (Type 2)

Legal business name Masonic Villages of the Grand Lodge of Pennsylvania

Other name <Unavail>

Practice address 1 Masonic Dr, Elizabethtown, PA, 17022

Phone (717) 367-1121

Fax (717) 367-5813

Enumeration date Oct 30, 2012

Last updated in NPPES Mar 3, 2026

Taxonomy & classification

3336I0012X Institutional Pharmacy Suppliers · License HP416534L (PA) Secondary

3336L0003X Long Term Care Pharmacy Suppliers · License HP416534L (PA) Primary

Authorized official

Name Pamela Formica

Title Chief Financial Officer

Phone (717) 367-1121

Other identifiers

Identifier	Type	State	Issuer
3998741	Other	-	NCPDP
HP416534L	Other	PA	PHARMACY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Masonic Villages of the Grand Lodge of Pennsylvania?

Masonic Villages of the Grand Lodge of Pennsylvania is registered in NPPES as a Long Term Care Pharmacy (its primary provider taxonomy).

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-03-03.