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Union Lake Supermarket, LLC

ArchivedSubmitted 02/28/2018
State
NJ
Covered entity type
Healthcare Provider
Individuals affected
9,956
Business associate present
No
Type of breach
Improper Disposal
Location of breached information
Other Portable Electronic Device
First seen by InfoSec Signals
9/23/2026
Last seen in OCR export
9/23/2026

OCR description

The covered entity (CE), Union Lake Supermarket, LLC, reported that a portable electronic device used to capture customer signatures was improperly disposed of. This compromised the electronic protected health information (ePHI) of 9,956 individuals. The ePHI involved included names, dates of birth, drivers’ license numbers, medications prescribed, and other treatment information. The CE notified HHS, affected individuals, and the media. In its mitigation efforts, the CE implemented additional administrative and technical safeguards and retrained its staff.

Change history

  • 9/23/2026Added to OCR's archive list

Source: HHS OCR Breach Portal, U.S. Department of Health and Human Services, Office for Civil Rights about this source

Records are reproduced as published; entity names and figures are OCR's.

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