Screening result
NPI 1073540571Screened 6/3/2026, 6:12:26 PM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
WATCH
Historical or low-severity record.
This NPI has a historical record — typically a reinstated exclusion or a less-severe state board action. Surface to compliance review.
Reasons (4)
- • CO pharmacy board voluntary surrender (2009-12-16)
- • CO pharmacy board surrender (2008-10-21)
- • CO pharmacy board surrender (2006-03-07)
- • CO pharmacy board surrender (2005-10-17)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| CO pharmacy | Voluntary Surrender | 2009-12-16 | — |
| CO pharmacy | Surrender | 2008-10-21 | 2009-12-16 |
| CO pharmacy | Surrender | 2006-03-07 | 2008-10-21 |
| CO pharmacy | Surrender | 2005-10-17 | 2006-03-07 |
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Source + audit trail
- NPI screened
- 1073540571
- Screen timestamp
- 6/3/2026, 6:12:26 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- WATCH
- Risk score
- 40
- Matches found
- 4
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ProviderScore — Sanctions Screening Record
Record generated 6/3/2026, 6:12:26 PM
NPI 1073540571
WATCH Historical or low-severity record.
Screened 6/3/2026, 6:12:26 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (4) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (4)
- CO pharmacy board voluntary surrender (2009-12-16)
- CO pharmacy board surrender (2008-10-21)
- CO pharmacy board surrender (2006-03-07)
- CO pharmacy board surrender (2005-10-17)
Source + audit trail
| NPI screened | 1073540571 |
| Screen timestamp | 6/3/2026, 6:12:26 PM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | WATCH |
| Risk score | 40 |
| Total matches | 4 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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