Carl D Acquaviva
Carl D Acquaviva is a healthcare organization registered as Long Term Care Pharmacy in Palm Bay, FL, holding Type 2 (organization) NPI 1780970673 since 2011. The authorized official on file is Carl Acquaviva, Pharmacy Dept Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780970673 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Carl D Acquaviva |
| Other name | <Unavail> |
| Practice address | 1555 PORT MALABAR BLVD NE STE 102B, Palm Bay, FL, 32905 |
| Phone | 3217257188 |
| Fax | 3217281333 |
| Enumeration date | 2011-06-20 |
| Last updated in NPPES | 2019-02-05 |
Authorized official
| Name | Carl Acquaviva |
|---|---|
| Title | Pharmacy Dept Manager |
| Phone | 3217681400 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 333600000X | Pharmacy | Secondary | PH25270 | FL |
| 3336L0003X | Long Term Care Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 104293900 | Medicaid | FL | — |
| 2131033 | Other | — | PK |
Copy-ready billing details
Provider: Carl D Acquaviva NPI: 1780970673 Taxonomy: 3336L0003X (Long Term Care Pharmacy) Address: 1555 PORT MALABAR BLVD NE STE 102B, Palm Bay, FL, 32905
Verify this record
Cross-check NPI 1780970673 against the authoritative CMS record: view Carl D Acquaviva on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Carl D Acquaviva?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2019-02-05.