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    Maryland Department of Health
    Maryland Board of Pharmacy

    Incident Date
      
    Date Reported to Board
      
    Prescriber's Name
      
    Prescriber's Specialty
      
    Maryland County
      
    2/24/20102/26/2010Edward ArrisonPain Management, AnesthesiologyBaltimore City
    Fed-Ex delivered box of pads, several missing
    9/26/20109/29/2010Maryam Jaberi MD, FACSGeneral SurgeryHarford
    Fraudulent script taken to Walgreens pharmacy in Forest Hill MD with Doctors DEA and NPI
    10/13/201010/13/2010Dr. David M. CromwellInternal Medicine, GastroenterologyBaltimore
    A CVS Pharmacy in Nottingham, MD informed Dr. David M. Cromwell that a patient of Dr. David M. Cromwell had a prescription for Oxycontin filled on October 1, 2010 and then tried again on October 13th to have a prescription filled for Oxycontin on one of the doctor’s prescription forms. The pharmacy called Dr. Cromwell’s office on October 13th to verify that Dr. Cromwell had written the prescription, which he had not. Dr. Cromwell believes that this person stole his prescription pad when in the office for a patient visit.
    12/23/20101/6/2011David A. Cohen, MD.Orthopedic SurgeryBaltimore
    A MedStar Franklin Square Hospital prescription pad was stolen and my DEA number was used to write over six known scripts for Oxycodone 30 mg #100.
    5/27/20116/1/2011MOORE CLINIC AT JOHNS HOPKINS HOSPITALINFECTIOUS DISEASEBaltimore City
    2 CONTROLLED SUBSTANCE PRESCRIPTION PADS (25 INDIVIDUAL PRESCRIPTIONS/PAD) REPORTED AS STOLEN FROM THE MOORE CLINIC WITH SERIAL NUMBERS 0284776 – 0284825. 1 OF THESE PRESCRIPTIONS WAS IDENTIFIED AS FRAUDULENT AND ATTEMPTED TO BE FILLED FOR OXYCODONE 30MG.
    6/27/20116/27/2011Kavita B. Kalra, M.D.Oncology, HematologyBaltimore City
    Physician was called by the Old Town Pharmacy in Baltimore to verify the prescription for Alprazolam. This was a fraudulent prescription and likely written on a stolen prescription pad. Complaint was filed with the Baltimore City Police Department.
    8/31/201111/16/2011Nathan C Moskowitz, M.D.Neurological SurgeryMontgomery
    A forger somehow obtained above pad or copied above. Different people have turned up at different pharmacies with “Roxycodone #150”. The policed are called but some may be filled by innocent pharmacists. Please take care to never fill any Roxycodone or any narcotics over #60 for Dr. Moskowitz.
    9/23/201111/4/2011RICHARD HUDES, M.DRADIATION ONCOLOGYNot Provided
    ON 9/23/11 I WAS CONTACTED BY A PHARMACIST REGARDING A FALSIFIED/ FORGED OXYCODONE 30 MG PRESCRIPTION WRITTEN ON A STOLEN PRESCRIPTION PAD FROM ST AGNES HOSPITAL CANCER INSTITUTE. THE PERPETRATOR, WHO IS NOT A PATIENT OF MINE, WAS ARRESTED AND TRIAL IS PENDING.
    ON 11/3/11 I WAS CONTACTED BY ANOTHER PHARMACIST REGARDING A FALSIFIED/ FORGED OXYCODONE 30 MG PRESCRIPTION WRITTEN ON A STOLEN PRESCRIPTION PAD FROM ST AGNES HOSPITAL CANCER INSTITUTE. THE PERPETRATOR, WHO IS NOT A PATIENT OF MINE, WAS ARRESTED. THE SAME PRESCRIPTION PAD ALSO HAS THE NAME AND DEA# OF SYLWESTER DZIUBA, M.D.
    DR. DZIUBA AND I WOULD LIKE PHARMACISTS TO PLEASE CALL OUR OFFICE AT 410 368 2965 TO VERIFY ALL CONTROLLED SUBSTANCE PRESCRIPTIONS. WE ARE ON CALL 24/7, BUT IF WE ARE LATE IN RESPONDING THEN WE ASK THAT YOU NOT FILL SUCH PRESCRIPTIONS UNTIL CONFIRMATION WITH OUR OFFICE EVEN IF IT’S NOT UNTIL THE NEXT BUSINESS DAY.
    11/21/201111/22/2011Joshua Ewen, MDNeurology and Developmental MedicineBaltimore
    Received information at 10:30 AM 11/21/11 from Michelle, Pharmacist at Harlem Gardens Pharmacy in Baltimore that an individual tried to fill a fraudulent prescription for Oxycodone at her pharmacy. Michelle advised that the script appeared authentic. After viewing faxed image of script it was determined that an unknown quantity of Dr. Ewen’s prescriptions had been stolen. Copy of prescription attached. Police were notified.
    12/3/20113/5/2012Arthur Hildreth, M.D., Maciej Chodynicki, M.D. Jeannine Cannito, CRNP-PMH, Kamau Collins, M.D., Claude Smith, M.D.PsychiatryBaltimore
    2/27/12, 2/17/12, 3/2/12, 2/13/12, 12/3/11, 2/2/12, 1/23/12, 1/12/12:
    We have received multiple copies of forged prescriptions. We believe several prescription pads were stolen from the office from multiple providers. All scripts were written for Oxycodone 30mg.
    12/8/201112/8/2011COMMUNITY CHILD PSYCHIATRY PROGRAMS AT JOHNS HOPKINS HOSPITALPEDIATRIC PSYCHIATRYBaltimore City
    JOHNS HOPKINS HOSPITAL CONTROLLED SUBSTANCE PRESCRIPTION PADS WITH SERIAL NUMBERS 0062215 – 0062450 REPORTED AS STOLEN FROM CLINIC OFFICE OF DR. JOYCE NOLAN HARRISON, 403 N. CAROLINE STREET, BALTIMORE, MD.
    1/13/20121/31/2012Vincent Perrotta, MDPlastic SurgeryWicomico
    [NONE PROVIDED BY SUBMITTER]
    1/24/20122/14/2012Steven E. Capland, MD, Catherine Fearson, CPNPPediatricsNot Provided
    Was notified by a pharmacy on 2/14/2012 that a person by the name of Lamont Hudson has filled various prescriptions for controlled substances since 1/24/12. The prescriptions were forged with Dr. Capland's signature.
    1/26/20123/13/2012DOUGLAS R SHUMAKER, M.D.Internal MedicineMontgomery
    1/26/12, 1/29/12, 3/10/12
    MALE CALLER CLAIMING TO BE DR SHUMAKER CALLING IN PRESCRIPTIONS FOR HYCODAN SYRUP
    2/5/20122/6/2012Letitia W. Short, M.D.Integrative Medicine, Allergy, Specialized Adult Medicine and PediatricsTowson
    My office was burglarized this past weekend and blank prescription pads were taken.
    4/30/20124/30/2012Lawrence L. Rubin, MDInternal MedicineBaltimore
    A prescription pad with the name Lawrence L Rubin, MD was stolen or copies made, location of the theft is unknown. Several area pharmacies called/faxed copies of the fraudulent prescriptions, all made out for varying amounts of Oxycodone. Baltimore County Police were notified.
    6/29/20127/6/2012ADULT MEDICINE CLINICS - JOHNS HOPKINS OUTPATIENT CENTERINTERNAL MEDICINEBaltimore City
    A JOHNS HOPKINS HOSPITAL CONTROLLED SUBSTANCE PRESCRITION PAD WITH NUMBERS 0357326 TO 03457350 MAY HAVE BEEN STOLEN ON, OR ABOUT, 6/19/12 AND ANY PRESCRIPTIONS IN THIS SEQUENCE SHOULD BE CONSIDERED FORGERIES UNLESS VERIFIED BY THE PRESCRIBER BY CALLING 410 955-3110. PRESCRIPTION NUMBER 0357326 WAS MADE OUT TO A CAROLYN WILMER (DOB 11-21-58), ADDRESS 203 N. DOUGLAS COURT 21231. THE PRESCRIBER WAS LISTED AS SUSAN TUDDENHAM T6271. THE PRESCRIPTION WAS NOT VALID (PER THE PHYSICIAN), AND THIS PATIENT HAS NEVER BEEN SEEN IN THE CLINIC.
    7/7/20128/1/2012Cassie Kryzak, PANot ProvidedBaltimore City
    Fake script was presented to Watgreens in Chester, MD. The fake script was
    on a legitimate prescription form for controlled substances. Based upon the log number on the script, this appears to be the only missing form.
    7/24/20127/31/2012Janine Carrington DDSDentistryNot Provided
    Prescriptions for Demerol and Percocet printed on computer prescription form without deritist’s knowledge or valid signature.
    9/11/20129/13/2012Aroor S RaoCardiologyNot Provided
    Fraudulent script taken to RiteAid in Silverspring and  Giant Pharmacy 366 @ 301-585-2777 in silver spring for Oxycodone 30MG.  Script has some of our doctors names but no DEA or NPI. NOT THE REGULAR OFFICE SCRIPTS. Script has a forged signature of Dr.Aroor Rao.
    12/18/201212/18/2012Douglas G. Pincock DMPedodontistMontgomery
    Was notified by a pharmacy that several scripts was written in Kelly Patton-Pertell's name for vicodine and Flexeril and Forged Dr. Pincock signature, pads were stolen back in Oct. 2012.
    1/1/20135/29/2013Haddijatou S. Ogunsola MDPain ManagementAnne Arundel
    For the past year we have had problems with someone using Dr. Ogunsolas DEA number to receive medications that she did not prescribe and to patients she has never seen. We have received several fake computer generated prescriptions in her name mostly for Oxycodone 15mg and Oxycodone 30mg. The police have been contacted however we wanted you to be aware of this as well, We were told to report this to the Board of Pharmacy and that you would put out a letter to all of the pharmacies. We know for a fact that this is happening in Anne Arundel County and Baltimore City but are unaware of any where else it may have taken place at. If you need any other information please feel free to contact us. Jennifer Sacks is the office manager
    and would be able to answer questions or provide any other information that you may need.
    5/14/20135/15/2013TERESA DUMPE, CRNPURGENT CAREWASHINGTON
    CALL FROM PHARMACIST QUESTIONING PRESCRIPTION FOR OXYCODONE. PATIENT NEVER SEEN AT OUR FACILITY, PRACTITIONER DIDN'T WORK DAY SCRIPT WAS WRITTEN.
    WASHINGTON COUNTY SHERRIF'S DEPARTMENT INVESTIGATING.
    5/29/20136/12/2013Benista Owusu-Amo, MDMedical ResidentBaltimore City
    It was discovered Maryland General Hospital controlled prescription blanks were missing from the Bolton Hill Clinic when the HospitaL was contacted by two different retail pharmacies regarding suspicious prescriptions written for Percocet 325/10 mg, #90 tabs Dr. Owusu-Amo had not Worked at the Bolton Hill Clinic nor was she familiar with the patients named on the fraudultly written prescriptions. The stolen blanks are numbered 58737-58744 and 63122-63130.
     
    6/1/20136/6/2013Abigail Race, PASurgeryBaltimore City
    June 1-2, 2013: 2 pads of Johns Hopkins Hospital pink controlled substance prescription pads (appx. 25 individual prescriptions / pad) with serial numbers 0437151 t0 0437200 were reported as stolen from the Weinberg 4C nursing station during the week-end of June 1st / 2nd. The pads were issued to Abigail Race, PA. The event was reported to Johns Hopkins Corporate security on June 4 and is under investigation.
    7/28/20137/29/2013JOHN MICHAEL SCHRUEFER, M.DEMERGENCY MEDICINE / PHLEBOLOGYMontgomery
    ON SUNDAY, JULY 28TH, A PHARMACIST FROM CVS IN CHESTER, MD CALLED DR.
    SCHRUEFER TO ASK ABOUT A PRESCRIPTION FORM THEY RECEIVED FOR AN 11 MONTH
    OLD INFANT (RILEY HOHMAN) FOR AMOXICILLIN. DR. SCHRUEFER DID NOT WRITE THIS
    PRESCRIPTION. KERRY HOHMAN IS AN ULTRASONOGRAPHER WHO USED TO WORK IN DR.
    SCHRUEFER'S ROCKVILLE, MD OFFICE FOR VEIN CLINICS OF AMERICA. HOWEVER, NOW
    KERRY HOHMAN WORKS IN THE ANNAPOLIS, MD VEIN CLINICS OF AMERICA OFFICE. THE
    HANDWRITING ON THE FORGED PRESCRIPTION FORM AND HER WRITTEN WORK IN
    PATIENT'S MEDICAL RECORDS IS SIMILAR HANDWRITING (SAMPLE ATTACHED WITH THE
    FORGED PRESCRIPTION FORM). POLICE HAVE BEEN NOTIFIED IN CHESTER, MD AS THIS
    IS THE LOCATION OF THE CVS PHARMACY WHERE WE FIRST BECAME AWARE OF
    INCIDENT.
    8/16/20138/22/2103RICHARD SZYMANSKI, PHYSICIAN ASST.NEUROSURGERY Baltimore
    A PARTIAL PAD OF 5-10 PRESCRIPTIONS WERE EITHER LOST OR STOLEN FROM A NURSING STATION AT THE JOHNS HOPKINS HOSPITAL. THE ORIGINAL SUPPLY OF 2 PADS HAD SERIAL NUMBERS 0439326 TO 0439350 AND 0439351 TO 0439375. IT IS BELIEVED THAT THE PRESCRIPTIONS REPORTED AS MISSING WERE THE LAST 5-10 IN EITHER PAD
    9/1/20132/1/2014TALHA SIDDIQUI, MDANESTHESIOLOGYNot Provided
    DR. SIDDIQUI HAS LEARNED THAT SCRIPTS AND "FAX RENEWAL REQUEST" FORMS BEARING HIS NAME AND FORMER MARYLAND OFFICE ADDRESS - BUT NEITHER WRITTEN, SIGNED, NOR AUTHORIZED BY HIM - WERE PRESENTED TO THE GIANT PHARMACY IN GLEN BURNIE. THE DATES ON THE UNAUTHORIZED SCRIPTS ARE BETWEEN SEPTEMBER 26, 2013, THROUGH OCTOBER 13, 2013. IT IS NOT KNOWN WHO WROTE OR SENT THE PRESCRIPTIONS, HOW THE PAD WAS OBTAINED BY THE INDIVIDUAL WHO WROTE THEM, OR WHETHER ADDITIONAL SCRIPTS WERE PRESENTED ELSEWHERE. DR. SIDDIQUI DID NOT WRITE, SIGN OR AUTHORIZE ANY SCRIPTS IN MARYLAND AFTER SEPTEMBER 20, 2013.
    10/16/201310/17/2013Dr. Aliya ChaudhryPediatricianNot Provided
    Dr. Chaudhry's script pad was stolen yesterday out of the office.  She is unaware of who confiscated the pad at this time.  She believes that it could have been stolen from her personal office or in one of the exam rooms.  This incident took place between the hours of 2 and 3pm.  The pack had about 1/2 to 1/3 of the blanks scripts available.  We have notified all of the local pharmacies already and we are hoping that this can be resolved soon.  Thank you for your time in this manner.
    11/23/201312/4/2013AMANDA YEEInternal MedicineNot Provided
    I WAS CALLED ON 11/23/13 BY A PRINCE GEORGE'S COUNTY POLICE OFFICER THAT TOLD ME SOMEONE NAMED RUSSELL PHILLIPS WAS TRYING TO USE MY PRESCRIPTION ILLEGALLY. SINCE I WORK IN ANNE ARUNDEL MEDICAL CENTER IN ANNAPOLIS, HE ADVISED ME TO MEET WITH AN ANNE ARUNDEL POLICE OFFICER. I MET WITH OFFICER M.C. GIBSON IN AT ANNE ARUNDEL MEDICAL CENTER AND REPORTED IT TO HIM AND THAT MY PRESCRIPTION PADS WERE STOLEN. I CALLED THE DEA OFFICE LATER THAT DAY AND LEFT A MESSAGE 2 DAYS IN A ROW. IN LATER GOT A RESPONSE FROM THEM A FEW DAYS LATER AND WAS TOLD TO SPEAK WITH THE BOARD OF PHARMACY INSTEAD. I LEFT A MESSAGE FOR THEM SINCE THEY WERE AWAY UNTIL MONDAY 12/2/13 FOR THE THANKSGIVING HOLIDAY. IN THE MEAN TIME ON 11.26/13 I CALLED LOCAL PHARMACIES IN ANNE ARUNDEL AND PRINCE GEORGE'S COUNTY TO LET THEM BE AWARE OF THIS INCIDENT. I LATER GOT A CALL FROM THE BOARD OF PHARMACY ON 12/2/13 TELLING ME TO FILL OUT THIS FORM.
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