EXCLUDEDPROVIDER
Entity Program Crime

Big Mart Pharmacy, INC

Watertown, NY 13601

Public HHS-OIG LEIE exclusion record

Big Mart Pharmacy, INC of Watertown, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1861575805 with a primary specialty of Pharmacy, Community/Retail Pharmacy. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Big Mart Pharmacy, INC is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of November 20, 2014.

Status
Currently listed by HHS-OIG
Record type
Entity
Location
Watertown, NY 13601
Exclusion date
November 20, 2014
Exclusion type
Program Crime (1128a1)
NPI
1861575805

Record summary

Big Mart Pharmacy, INC appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Watertown, New York. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is November 20, 2014, and the exclusion type is 1128a1, identified by HHS-OIG as conviction of program-related crimes.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeEntity
Current statusCurrently listed by HHS-OIG
Exclusion dateNovember 20, 2014
Exclusion typeConviction of program-related crimes (1128a1)
NPI1861575805
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a1 as “Conviction of program-related crimes.” Conviction of a criminal offense related to the delivery of an item or service under Medicare or a State health care program (mandatory exclusion, minimum 5 years).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Watertown, NY 13601. The listed provider category is Other Business. The listed specialty is Pharmacy.

NPI Registry context

The LEIE record lists NPI 1861575805. CMS NPPES public registry data lists this NPI as an organization record with primary taxonomy Pharmacy, Community/Retail Pharmacy (3336C0003X). Registered practice location: Bronx, NY. NPI enumeration date: Oct 23, 2006. NPPES status: Active.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Watertown, NY

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Watertown, NY address.

Jorge Vergara Individual Felony Fraud
Watertown, NY · Felony conviction relating to health care fraud · Excluded Jan 2019
John H Sherman Individual Revocation
Watertown, NY · License revocation, suspension, or surrender · Excluded Mar 2017
David Wayne Holloway Individual Felony Fraud
Watertown, NY · Felony conviction relating to health care fraud · Excluded Oct 2014
Joyce Wong Buckley Individual Revocation
Watertown, NY · License revocation, suspension, or surrender · Excluded Mar 2009
Keenan Chiropractic Entity Controlled Entity
Watertown, NY · Entities controlled by a sanctioned individual · Excluded Jan 2009
John M Keenan Individual Loan Default
Watertown, NY · Default on health education loan or scholarship obligations · Excluded Nov 2008
Cosmas D Legrand Individual Program Crime
Watertown, NY · Conviction of program-related crimes · Excluded Feb 2007
Renato A Ticzon Individual Revocation
Watertown, NY · License revocation, suspension, or surrender · Excluded Aug 2002

See all 11 excluded providers in Watertown →

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify this record with the official HHS-OIG source Save or print this record Monitor this provider/entity Need to screen a list? Join the bulk screening beta

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Related

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