EXCLUDEDPROVIDER
Individual Controlled Substance

Mark Andrew Mongillo

Bradford, PA 16701

Public HHS-OIG LEIE exclusion record

Mark Andrew Mongillo of Bradford, PA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1982046470 with a primary specialty of Pharmacist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Mark Andrew Mongillo is currently excluded from participation in federally funded health care programs due to felony conviction relating to controlled substance, as of June 19, 2025.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Bradford, PA 16701
Exclusion date
June 19, 2025
Exclusion type
Felony conviction relating to controlled substance (1128a4)
NPI
1982046470

Record summary

Mark Andrew Mongillo appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Bradford, Pennsylvania. 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 June 19, 2025, and the exclusion type is 1128a4, identified by HHS-OIG as felony conviction relating to controlled substance.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJune 19, 2025
Exclusion typeFelony conviction relating to controlled substance (1128a4)
NPI1982046470
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128a4 as “Felony conviction relating to controlled substance.” Felony conviction relating to a controlled substance (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 Bradford, PA 16701. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Pharmacist.

NPI Registry context

The LEIE record lists NPI 1982046470. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Pharmacist (183500000X). Registered practice location: Rome, NY. NPI enumeration date: Jul 24, 2013. NPPES status: Active. The NPI Registry lists credential: PharmD.

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 Bradford, PA

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

Kasandra Marie Jerman Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded Oct 2025
Adeyanju Adewale Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded Nov 2024
Robert Lee Jr Dower Individual Controlled Substance
Bradford, PA · Felony conviction relating to controlled substance · Excluded May 2024
Ravitej B Reddy Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded Jan 2024
Vasso Godziachvili Godiali Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded Dec 2023
Martin Escobar Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded May 2023
Mashiyat Rashid Individual Program Crime
Bradford, PA · Conviction of program-related crimes · Excluded Mar 2022
Eugene Jeno Gosy Individual Patient Abuse
Bradford, PA · Conviction relating to patient abuse or neglect · Excluded Nov 2021

See all 43 excluded providers in Bradford →

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 individuals in Pennsylvania More records in Bradford More felony conviction relating to controlled substance records