Tampa-Area Pharmacist Barred

What Happened

A federal court in December 2025 permanently prohibited Nathaniel Esalomi, owner and sole pharmacist of Apexx Pharmacy in Hudson, Florida, from distributing opioids or other controlled substances. The United States alleged in an August 2022 complaint that he filled opioid prescriptions he knew were not valid, charged inflated prices, accepted thousands of dollars in cash, instructed individuals to forge signatures and falsify addresses, and filled prescriptions for deceased persons. Under a consent judgment he must pay $10,000 of a $500,000 suspended civil penalty, and the pharmacy remains dissolved. He also pleaded no contest to related state criminal charges.

“permanently prohibits Esalomi from distributing opioids or other controlled substances”
U.S. Department of Justice / U.S. Attorney's Office press release, Dec 10, 2025

Related Guidance

15 Red Flags of Drug Diversion — Behavioral and transactional indicators of diversion.
Investigation Playbook — How to investigate suspected diversion inside an organization.

Sources

U.S. Department of Justice / U.S. Attorney's Office press release, Dec 10, 2025

Case at a Glance

Setting: Retail pharmacy (Apexx Pharmacy)
Drug: Opioids
Method: Allegedly filled prescriptions he knew were not valid, including for deceased persons, at inflated cash prices
Status: Consent judgment entered December 2025; permanent ban and $10,000 of a $500,000 suspended civil penalty

Source: U.S. Department of Justice

What this case shows

Where this record connects to the site's working material. Links are chosen from the case's setting, drug and method fields.

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Last reviewed: September 2026 · Educational content, not legal advice.

About the author

DivertGuard is built and maintained by Alex Rodriguez, MHIIM, CPhT (also known as Jesus Rodriguez) — a drug diversion prevention program manager with more than a decade in pharmacy practice, including direct responsibility for a health-system controlled substance diversion prevention program.

Conference presentations

2025 — The Rounding Revolution: A High-Tech Approach to Diversion Prevention (with Emily Spiceland, PharmD)
2024 — No Pill Left Behind: Strategies for Comprehensive Drug Accountability (with Eric Andrews)
2022 — Ready for My Close Up! Implementing, Maintaining, and Expanding Drug Diversion Prevention Cameras (with Jeremy Quinn, Shawn Young, and John Bailey)

Other professional engagement

Faculty, ASHP Drug Diversion Certificate
Speaker, Health Care Compliance Association (HCCA)
Published author, Pharmacy Purchasing & Products

Credentials

Doctorate candidate — Doctor of Health Informatics (DHI), Rutgers University, School of Health Professions; research on health data analytics and the prediction of cognitive decline
MHIIM — master's in health informatics, University of Tennessee Health Science Center (2019–2021)
CPhT — Certified Pharmacy Technician, with 10+ years of pharmacy practice across retail, hospice, compounding, home-health, and hospital settings

The assessment items, weighting, and case registry behind this site come from that operational background — building and running a diversion prevention program, not from vendor marketing. Every tool here is free, requires no signup, and is based on published regulatory and professional standards (DEA, Joint Commission, ASHP, CDC).

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Related Resources

Diversion Settlements & Fines

Settlements, civil penalties and criminal fines paid by hospitals and pharmacies in documented drug diversion cases, with the amount, year and primary source for each

Penalty Outcomes in the Case Records

Counts of the outcomes the registry records state: prison, probation, fines, licence actions and restitution, with stated sentence lengths by band and by drug class

Registry Insights: Sentences, Fines, States and Outcomes

Sentence lengths, fines and restitution, cases per 100,000 pharmacists by state, and plea and licence outcomes, each counted from the case records with its n, plus charts of cases by year, state and drug class

Tampa-Area Pharmacist Barred From Dispensing Opioids