EXCLUDEDPROVIDER
Entity Program Crime

Grim Thirty-three, INC

Smithtown, NY 11787

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Grim Thirty-three, INC of Smithtown, NY is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of August 20, 2003.

Status
Currently listed by HHS-OIG
Record type
Entity
Location
Smithtown, NY 11787
Exclusion date
August 20, 2003
Exclusion type
Program Crime (1128a1)
Source dataset
May 2026

Record summary

Grim Thirty-three, INC appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Smithtown, 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 August 20, 2003, 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 dateAugust 20, 2003
Exclusion typeConviction of program-related crimes (1128a1)
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 Smithtown, NY 11787. The listed provider category is Pharmacy.

Other excluded providers in Smithtown, NY

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

Anthony Gerard Michael Bubolo Individual Controlled Substance
Smithtown, NY · Felony conviction relating to controlled substance · Excluded Oct 2023
John James Ricciardelli Individual Controlled Substance
Smithtown, NY · Felony conviction relating to controlled substance · Excluded Mar 2021
Suresh B Shah Individual Revocation
Smithtown, NY · License revocation, suspension, or surrender · Excluded Jun 2002
Warren Sidney Weber Individual Revocation
Smithtown, NY · License revocation, suspension, or surrender · Excluded Jun 2000
Suffolk County Hearing Aid Ctr Entity Program Crime
Smithtown, NY · Conviction of program-related crimes · Excluded Aug 1993
Erica J Economou Individual Revocation
Smithtown, NY · License revocation, suspension, or surrender · Excluded Jul 1991
Gary F. Cohen Individual Revocation
Smithtown, NY · License revocation, suspension, or surrender · Excluded Jun 1991
14 Lawrence Ave Pharmacy Entity Program Crime
Smithtown, NY · Conviction of program-related crimes · Excluded Aug 1988

See all 10 excluded providers in Smithtown →

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 with HHS-OIG Remove / correct this record

Related

More excluded entities in New York More records in Smithtown More conviction of program-related crimes records