EXCLUDEDPROVIDER
Individual Drug Felony

Anthony Gerard Michael Bubolo

Smithtown, NY 11787

Public HHS-OIG LEIE exclusion record

Anthony Gerard Michael Bubolo of Smithtown, NY is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1740337955 with a primary specialty of Pharmacist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Anthony Gerard Michael Bubolo is currently excluded from participation in federally funded health care programs due to felony conviction relating to controlled substance, as of October 19, 2023.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Smithtown, NY 11787
Exclusion date
October 19, 2023
Exclusion type
Drug Felony (1128a4)
NPI
1740337955

Record summary

Anthony Gerard Michael Bubolo appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual 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 October 19, 2023, 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 dateOctober 19, 2023
Exclusion typeFelony conviction relating to controlled substance (1128a4)
NPI1740337955
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 Smithtown, NY 11787. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Pharmacist.

NPI Registry context

The LEIE record lists NPI 1740337955. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Pharmacist (183500000X). Registered practice location: Williston Pk, NY. NPI enumeration date: Jan 3, 2007. 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 Smithtown, NY

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

John James Ricciardelli Individual Drug Felony
Smithtown, NY · Felony conviction relating to controlled substance · Excluded Mar 2021
Grim Thirty-three, INC Entity Program Crime
Smithtown, NY · Conviction of program-related crimes · Excluded Aug 2003
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 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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