| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | MARK ANDREW MONGILLO · MONGILLO MARK ANDREW · Mark A. Mongillo · Mark Andrew Mongillo, RPh | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Mark | [sources] | |||
| ID Number | 00058233 · RP447842 | [sources] | |||
| Last name | Mongillo | [sources] | |||
| Middle name | A. · ANDREW | [sources] | |||
| NPI | 1982046470 | [sources] | |||
| Sector | Pharmacy | [sources] | |||
| Title | Pharmacist | [sources] | |||
| Unique Entity ID | XU4QXFLT7EA7 | [sources] | |||
| Position | PHARMACIST (IND- LIC HC SERV PRO) | [sources] | |||
| Address | (NY), (NY) · BRADFORD, PA 16701, USA · P O BOX 8000, BRADFORD, PA 16701 | [sources] | |||
| Last change | Last processed | First seen | |||
People and companies excluded from Federally funded health care programs
United States · OIG
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers deemed ineligible to participate in New York State's Medicaid program.
United States · OMIG
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
us-fed-excl-mark-andrew-mongillo-16701-bradford · us-medny-d590b74080cb0006e9a6b22b3c2ceb3c3e90b472 · us-medde-f515c08eabefb092f34d64e5770d9e84dbf2dafb · us-medpa-449685586025ee941313e9c526b1b275d05599a6For experts: raw data explorer
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| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Department of Health and Human Services Office of Inspector General | - | |||
| Address | ||
|---|---|---|
| Full address | Country | |
| (NY), (NY) · NY, NY | United States | |
| United States | New York State Office of the Medicaid Inspector General | - | - |
| United States | OPM | Reciprocal | - |
| United States | Pennsylvania Department of Human Services | - | - |
| United States | Department of Human Services | - | - |