A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
CONSIDERATION OF TECHNICIAN AND TECHNICIAN TRAINEE AGREED BOARD ORDERS AND DEFAULT ORDERS
November 6, 2018 AGREED BOARD ORDERS AFTER INFORMAL CONFERENCE
NO. NAME VIOLATION VIOLATION DATE
SANCTION
1 Anil Romell Monteiro Reg. #216316 (R) T-18-016
Prior Orders: • ABO #T-15-394 • ABO #T-17-020 • ABO #T-17-093 Prior Offenses: • Failed to submit to performance of
unscheduled drug and alcohol analysis • Submitted a dilute sample for urinalysis • Tested positive for temazepam and
tramadol • Failed to submit a quarterly report
regarding compliance with recommendations of MHP
• Submitted an insufficient quarterly report regarding compliance with recommendations of MHP
Failed to submit to performance of unscheduled drug and alcohol analysis Tested positive for oxazepam and temazepam
06/30/2016 07/13/2016 07/28/2017 07/28/2017 02/01/2018 05/01/2018 12/04/2017 02/14/2018 03/13/2018 04/03/2018 05/03/2018
Supersede + 30-day suspension + MHP + 5 years probation
A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
2 Carolina Busby-Amado Applicant (N) T-18-028-N
Felony Theft (deferred) 01/19/2006 Grant registration + 1 year probation
3 Tammy Rena Green Applicant (N) T-18-072-N
Felony Theft (deferred) 10/16/2003 Grant registration + 1 year probation
4
Anny Siharaj Reg. #133716 (R) T-18-112
Prior Orders: • BO #T-13-322 • ABO #T-15-047 • ABO #T-17-081 Prior Offenses: • Misdemeanor Driving While Intoxicated
(convicted) • Misdemeanor Driving While Intoxicated
– 2nd (convicted) • Failed to submit to performance of
unscheduled drug and alcohol analysis • Tested positive for naltrexone Tested positive for EtG and EtS Developed an incapacity that prevents her from practicing as a pharmacy technician or pharmacy technician trainee with reasonable skill, competence, and safety to the public
10/08/2007 01/23/2012 09/09/2016 06/30/2017 05/03/2018 08/01/2018
Supersede + MHP + 5 years probation
5 Frankie Raquel Eliott Reg. #232304 (R) T-18-111
Felony Burglary of a Habitation (deferred) 06/06/2018 30-day suspension + 5 years probation
A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
6 Kevin James Levy Reg. #155092 (R) T-18-132
Prior Order: • ABO #T-18-132 Prior Offenses: • Misdemeanor Driving While Intoxicated
(convicted) • Misdemeanor Public Intoxication
(convicted) • Misdemeanor Obstruction of a Highway
(convicted) Tested positive for EtG and EtS Developed an incapacity that prevents him from practicing as a pharmacy technician with reasonable skill, competence, and safety to the public
09/21/1998 01/14/2009 04/12/2012 07/09/2018 08/25/2018
Supersede + 180-day suspension + MHP + 5 years probation
7 Sylvia Nchore Reg. #242951 (R) T-17-204
Took controlled substances without authorization for use by another individual Misdemeanor Theft (deferred)
01/16/2017 12/12/2017
Revocation
8
Nicole Lynn Mistrot Applicant (N) T-18-104-N
Felony Driving While Intoxicated (convicted)
03/20/2006 Grant registration + 1 year probation
9
Claudia Ramos Reg. #134760 (R) T-18-124
Prior Order: • ABO #T-06-230 Felony Securing Execution of Document by Deception (deferred)
02/21/2017
30-day suspension + 5 years probation
A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
10
Connie Saldana Reg. #113699 (R) T-18-117
Prior Order: • ABO #T-16-378 Prior Offenses: • Misdemeanor Public Intoxication
(convicted) • Submitted a dilute sample for urinalysis • Failed to submit a quarterly report
regarding compliance with recommendations of MHP
• Failed to submit to performance of unscheduled drug and alcohol analysis
Failed to submit a quarterly report regarding compliance with recommendations of MHP
06/21/2012 05/22/2017 07/05/2018 06/01/2017 05/21/2018 06/01/2018
$250 administrative penalty
A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
DEFAULT BOARD ORDERS
NO. NAME VIOLATION VIOLATION DATE
SANCTION
11 Will Riley Moseley Reg. #248614 (R) T-18-034 SOAH Docket #515-18-4689
Felony Aggravated Assault with a Deadly Weapon (convicted)
01/11/2018 Revocation
12 Alexia Rae Bauer Reg. #198928 (R) T-17-195
Felony Forgery of a Financial Instrument (deferred) Felony Manufacture/Delivery of a Controlled Substance (deferred)
11/16/2017 04/26/2018
Revocation
13 Melissa Guzman Reg. #214775 (R) T-18-054
Felony Possession of Marihuana (deferred)
01/04/2018 Revocation
14 Casey Kessinger Reg. #192830 (R) T-18-029
Unlawfully engaged in the duties of a pharmacy technician with a delinquent registration
06/01/2017 – 10/31/2017
$250 administrative penalty
15 Jessica Cristin Molina Reg. #108745 (R) T-17-272
Fraudulently obtained controlled substances and dangerous drugs for personal use and use by another individual by forging authorizations for Rx refills
08/03/2016 Revocation
16 Patricia Maureen Felix Reg. #178892 (R) T-18-090
Misdemeanor Fraud/Removal Writing (deferred) Misdemeanor Theft (deferred)
05/10/2017 05/10/2017
$1,000 administrative penalty
A= Technician Applicant, N= Trainee Applicant, R= Registered Technician, T= Registered Trainee MHP = Mental Health Professional
Falsification of pharmacy technician renewal application
02/24/2018
17 Jasmine Andrea Roby-Davis Reg. #278449 (T) T-18-116-N
Misdemeanor Theft of Property (deferred)
06/06/2018
$500 administrative penalty
18 Vincent Siggers Reg. #221674 (R) T-18-128
Misdemeanor Assault Bodily Injury-Married (deferred)
06/11/2018 $500 administrative penalty
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 6, 2018
PUBLIC ORDERS
ALTERNATIVE RESOLUTIONS
NO. ORDER NO. NAME VIOLATION VIOLATION DATE
SANCTION
1 L-18-010-B L-18-010-A
A-Plus Pharmacy Lic. #28011
Failed to legally operate pharmacy 04/30/2018 – 05/08/2018
$1,000 penalty
2 Michael J.A.S.Sulaiman Lic. #21011
Failed to legally operate pharmacy 04/30/2018 – 05/08/2018
$1,000 penalty
3 K-18-006 Advanced Pharmacy, LLC Lic. #27532
Operation of non-resident pharmacy without Texas licensed pharmacist-in-charge
09/01/2017 – 11/29/2017
$1,000 penalty
4 K-17-031 Allivet Lic. #25561
Falsified renewal application (3 counts) Operation of non-resident pharmacy without Texas licensed pharmacist-in-charge
07/10/2009, 04/21/2011, 04/03/2013 09/01/2016 – 05/21/2017
$4,000 penalty
5 L-16-076 APS Pharmacy Lic. #28068
Unlawfully operating with an expired license
06/01/2016 – 08/28/2016
$1,000 penalty
6 H-18-019-B CVS/pharmacy #6896 Lic. #28200
Dispensing error (wrong drug)
09/10/2016 Reprimand + CQIP
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
2
7 L-18-006 Direct Pharmacy Source, Inc. Lic. #27738
Out of State Order (pharmacy faxed prescription to registered nurse without prescriptive authority which listed the nurse as the purported prescribing physician) Falsified renewal application
11/15/2017 11/27/2017
Reprimand + $1,000 penalty
8 E-18-004 Tony Osa Ebuehi Lic. #40421
Misdemeanor Assault Family Violence (deferred)
09/09/2015 Reprimand
9 K-18-029-B K-18-029-A
Parks Drug Lic. #6781
Unlawfully engaged in the operation of a pharmacy
11/01/2017 – 01/05/2018
$1,000 penalty + develop policies and procedures
10 John David Bullard Lic. #20393
Pharmacy unlawfully engaged in the operation of a pharmacy
11/01/2017 – 01/05/2018
$1,000 penalty
11 F-18-013 Stokes Pharmacy Lic. #27472
Out of State Order (shipped prescription drugs without a current permit) Falsified renewal application (2 counts)
11/20/2012 03/08/2013, 03/20/2015
Reprimand + $2,000 penalty
12 H-18-015 Vina Pharmacy Lic. #21937
Delivery error Failure to provide adequate security for confidential patient records
10/20/2017 $2,000 penalty + develop policies and procedures
13 H-16-058-B Walgreens #03885 Lic. #17168
Dispensing error (wrong dosage) DRR (high dosage)
04/25/2016 Reprimand + $1,500 penalty + CQIP
14 H-14-030-B
Walgreens #3138 Lic. #10640
Dispensing error (wrong drug) (2 counts)
10/18/2013, 11/10/2013
Reprimand + $1,500 penalty + CQIP
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
3
C-18-006
Failure to adequately follow-up with patient’s agent
Unknown date 10/2013 or 11/2013
15 Krisina Linaye Gilmore Lic. #44139
Failure to adequately follow-up with patient’s agent
Unknown date 10/2013 or 11/2013
$1,000 penalty
16 C-17-037-B C-17-037-A
Walgreens #3444 Lic. #10779
No patient counseling Falsified prescription dispensing record
01/04/2018 $2,500 penalty + develop policies and procedures
17 Alma Aurora Perez Lic. #61442
No patient counseling Falsified prescription dispensing record
01/04/2018 $2,000 penalty
18 H-18-023-B Walgreens #4459 Lic. #19057
Dispensing error (wrong drug) 01/04/2018 Reprimand + CQIP
19 C-17-034-B C-17-034-A
Walgreens #7264 Lic. #22470
No patient counseling Falsified prescription dispensing record
01/04/2018 $2,500 penalty + develop policies and procedures
20 Cody Wayne Graham Lic. #60949
No patient counseling Falsified prescription dispensing record
01/04/2018 $2,000 penalty
21 C-17-033-B Walgreens #7898 Lic. #22867
No patient counseling Falsified prescription dispensing record
01/09/2018 $2,500 penalty
22 J-15-009 Walgreens #9810 Lic. #25054
Dispensing error (wrong drug) 09/02/2013 Reprimand + CQIP
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 6, 2018
AGREED TEMPORARY SUSPENSION ORDERS
NO. NAME VIOLATION VIOLATION
DATE SANCTION
23 Emoss Pharmacy, LLC Lic. #27537 J-19-002-BS1
Non-therapeutic dispensing Failure to comply with reporting requirements to Texas Prescription Monitoring Program
10/03/2017 – 10/02/2018 10/12/2017 – 10/12/2018
Agreed temporary suspension
24 Job Ratemo Lic. #45136 J-19-002-AS1
Non-therapeutic dispensing Failure to comply with reporting requirements to Texas Prescription Monitoring Program
10/03/2017 – 10/02/2018 10/12/2017 – 10/12/2018
Agreed temporary suspension
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 6, 2018
PUBLIC ORDERS
AGREED BOARD ORDERS AFTER TEMPORARY SUSPENSION
NO. NAME VIOLATION VIOLATION DATE
SANCTION
25 Emoss Pharmacy, LLC Lic. #27537 J-19-002-B
Non-therapeutic dispensing Failure to comply with reporting requirements to Texas Prescription Monitoring Program
10/03/2017 – 10/02/2018 10/12/2017 – 10/12/2018
Supersede + 30 day suspension + close/undergo change-of-ownership
26 Job Ratemo Lic. #45136 J-19-002-A
Non-therapeutic dispensing Failure to comply with reporting requirements to Texas Prescription Monitoring Program
10/03/2017 – 10/02/2018 10/12/2017 – 10/12/2018
Supersede + suspension longer of 90 days or until pass MPJE + 5 year probation with conditions
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 6, 2018
PUBLIC ORDERS
AGREED BOARD ORDERS AFTER INFORMAL CONFERENCE
NO. NAME VIOLATION VIOLATION DATE
SANCTION
27 Rudolf A. Achiri Lic. #59996 H-18-003-A
Dispensing error (wrong drug)
07/10/2017 Reprimand + 6hrs CE
28 Ginger Cuba Borman Lic. #24433 J-18-011
Unlawfully accessed information contained in Texas Prescription Monitoring Program
03/11/2018 $1,000 penalty
29
Michael Clawson Boccieri Lic. #22535 J-18-010
Unlawfully accessed information contained in Texas Prescription Monitoring Program and/or failure to properly supervise pharmacy personnel
03/21/2018 $1,000 penalty
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
2
30 Creekbend Community Pharmacy Lic. #26963 K-17-051
Unlawfully engaged in duties of a pharmacy technician with a delinquent registration Failure to properly supervise pharmacy personnel
05/01/2017-07/12/2017
$2,000 penalty + develop policies and procedures
31 Yucabeth Moochi Kumenda Lic. #40962 K-17-051
Unlawfully engaged in duties of a pharmacy technician with a delinquent registration Failure to properly supervise pharmacy personnel
05/01/2017-07/12/2017
$500 penalty
32 Binta Barry Reg. #148144
Unlawfully engaged in duties of a pharmacy technician with a delinquent registration
05/01/2017-07/12/2017
$250 penalty
33 CVS/pharmacy #4794 Lic. #24649 H-17-051
Delivery error Failure to provide adequate security for confidential patient records No patient counseling Failure to maintain complete and accurate records regarding patient counseling Violated ABO #H-15-063-B
03/17/2017 Supersede + 7 year probation + $2,500 penalty + continue CQIP
34
Nikkol Francis Denson Lic. #38953 M-18-022
Request for termination of Agreed Board Order #A-16-011
- Termination granted
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
3
35
Direct Success Pharmacy Dept. Lic. #30401 K-17-058
Operation of non-resident pharmacy without Texas licensed pharmacist-in-charge
09/01/2016 – 12/31/2016
$1,000 penalty
36
Heart of America Pharmacy, LLC App L-18-020
Out of State Order (pharmacy operated prior to obtaining permit; pharmacy technician performed pharmacist duties and/or duties that may only be performed by a pharmacy technician under the supervision of a pharmacist)
02/05/2018 Grant + probation concurrent with out of state Order
37
Ansa Ene Hogan App. for Reinstatement R-18-003
Request for reinstatement - Grant reinstatement + restriction until pass MPJE + 45 hrs CE + complete internship + 5 year probation with conditions
38 Inverness Apothecary Trinity Lic. #29033 K-17-047
Operation of non-resident pharmacy without Texas licensed pharmacist-in-charge
09/01/2016 – 09/20/2017
$1,000 penalty
39 Kathy B. McKay Lic. #20023 A-16-027
Dispensed controlled substances, dangerous drugs, and over-the-counter products pursuant to invalid prescriptions
12/01/2016 – 05/31/2017
60 day suspension + 5 year probation with conditions + MPJE
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
4
40
Medstar Pharmacy Lic. #26548 C-16-012-B
Allowed pharmacy to operate while not under supervision of pharmacist and allowed pharmacy technician to perform pharmacist duties and/or duties that may only be performed by a pharmacy technician under the supervision of a pharmacist Performed pharmacist duties and/or duties that may only be performed under the supervision of a pharmacist
04/05/2016 2 year probation + develop policies and procedures
41
Ihechukwu Obute Reg. #251678 T-18-037
Performed pharmacist duties and/or duties that may only be performed under the supervision of a pharmacist
04/05/2016 2 year probation
42 Aslam R. Moosa Lic. #36474 K-18-012-A
Failure to properly supervise pharmacy personnel
06/01/2017 – 10/31/2017
$500 penalty
43 Kouassi Hyacinthe N’Dri Lic. #41226 M-18-018
Violated ABO #K-14-012-A 08/30/2017 Supersede + $6,000 penalty
44 Nnabuike Joseph Okeke Lic. #42092 E-18-001
Misdemeanor Assault Bodily Injury-Family/Household Member (deferred)
10/29/2014 Reprimand
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
5
45 Raul Demetrio Rendon Lic. #44964 E-16-015
Felony Divert Alprazolam for Another Person’s Use (deferred)
08/31/2016 1 year suspension + 5 year probation
46 Paramdeep Singh Lic. #48986 H-17-018-A
Dispensing error (wrong drug) Failed to dispense prescription in accordance with original prescription drug order and/or to contact prescriber for authorization of changes to the dispensed prescription No patient counseling Failure to maintain complete and accurate records regarding patient counseling
02/06/2017 Reprimand + $1,500 penalty + 6hrs CE
47 Tower Medic Pharmacy Lic. #3074 M-18-023
Request for termination of Agreed Board Order #H-16-048-B
- Termination granted
48 Joyce Dee Vandersloot Lic. #50036 G-18-021
Misdemeanor Possession of a Controlled Substance (Alprazolam (Xanax)) – Not More Than 3 Grams (deferred) Out of State Order (diverted controlled substance; same as above)
12/12/2017 03/15/2018
Restriction until request in writing to stay restriction + appears at IC
NO. NAME VIOLATION VIOLATION DATE
SANCTION
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
6
49 Walgreens #5921 Lic. #20235 H-16-056-B
Labeling error resulting in administration of wrong dosage DRR (high dosage) (2 counts) Labeling error
04/24/2016, 05/16/2016 05/16/2016
Reprimand + $8,000 penalty + CQIP
50 Eddie Lee Brown Lic. #28317 J-18-015
DRR (high dosage) 04/24/2016 $1,000 penalty + 6hrs CE
51 Wellness Pharmacy, Inc. Lic. #22825 F-18-003
Falsified application for nonresident pharmacy license Falsified renewal application (3 counts) Out of State Order (inspection deficiencies)
07/14/2003 08/05/2009, 09/07/2011, 08/13/2013 05/31/2017
Reprimand + $4,000 penalty
52 Woodland Hills Pharmacy Lic. #28973 L-18-012
Out of State Orders (compounding errors; subject to disciplinary action by another Board) (3 counts)
02/09/2018, 03/23/2018, 07/27/2018
Probation concurrent with out of state Order
53 Millers of Wyckoff Lic. #25666 F-16-057
Falsified renewal application (2 counts)
07/29/2013, 06/15/2015
$2,000 penalty
App = Applicant, Int = Pharmacist Intern, IntApp = Pharmacist Intern Applicant CQIP = Continuous Quality Improvement Program, DRR = Drug Regimen Review, CE = Continuing Education
CONSIDERATION OF AGREED BOARD ORDERS AND DEFAULT ORDERS November 6, 2018
PUBLIC ORDERS
DEFAULT ORDERS
NO. NAME VIOLATION VIOLATION DATE
SANCTION
50 Darrell Hooker Lic. #25070 H-13-029-A
Dispensing error (wrong directions) DRR (high dosage) Inadequate patient counseling
11/07/2012
2 year probation + $2,000 penalty + 6hrs CE