EXCLUDEDPROVIDER
Entity Program Crime

Shirley Mastic Pharmacy, INC

Shirley, NY 11967

Public HHS-OIG LEIE exclusion record

According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Shirley Mastic Pharmacy, INC of Shirley, NY is currently excluded from participation in federally funded health care programs due to conviction of program-related crimes, as of October 18, 2001.

Status
Currently listed by HHS-OIG
Record type
Entity
Location
Shirley, NY 11967
Exclusion date
October 18, 2001
Exclusion type
Program Crime (1128a1)
Source dataset
May 2026

Record summary

Shirley Mastic Pharmacy, INC appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an entity record associated with Shirley, 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 October 18, 2001, 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 dateOctober 18, 2001
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 Shirley, NY 11967. The listed provider category is Pharmacy.

Other excluded providers in Shirley, NY

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

Rhomy Louis Individual Felony Fraud
Shirley, NY · Felony conviction relating to health care fraud · Excluded Nov 2024
Gina Marie Dereme Individual Revocation
Shirley, NY · License revocation, suspension, or surrender · Excluded Oct 2020
Rameshwar Pathak Individual Revocation
Shirley, NY · License revocation, suspension, or surrender · Excluded Nov 1997
Kathleen M Kiss Individual Loan Default
Shirley, NY · Default on health education loan or scholarship obligations · Excluded Apr 1997
Khalil Rehman Individual Program Crime
Shirley, NY · Conviction of program-related crimes · Excluded Feb 1996

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.

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Related

More Excluded Entities in New York More Records in Shirley More Program Crime Records