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ACQUAVIVA'S LTC PHARMACY
NPI 1780970673
Pharmacy - Long Term Care Pharmacy in Palm Bay, FL

Active since June 20, 2011
1555 PORT MALABAR BLVD NE STE 102B, PALM BAY, FL 32905(321) 725-7188(321) 728-1333 Get Directions Write a Review

NPPES record last updated: February 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Acquaviva's Ltc Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ACQUAVIVA'S LTC PHARMACY (NPI 1780970673) is a healthcare organization registered as a long term care pharmacy in Palm Bay, Florida and active in the NPI registry since June 2011. The organization lists Carl Acquaviva, Pharmacy Dept Manager, as its authorized official.

NPPES Registry Identity

NPI1780970673
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameCARL D ACQUAVIVA
Location Address1555 PORT MALABAR BLVD NE STE 102BPalm Bay, FL 32905-5407
Mailing Address1555 Port Malabar Blvd Ne, Suite #102bPalm Bay, FL 32905-5407 · (321) 725-7188 · Fax (321) 728-1333
Phone(321) 725-7188
Fax(321) 728-1333
Organization SubpartNo
Authorized OfficialCarl AcquavivaPharmacy Dept Manager · (321) 768-1400
Enumeration DateJune 20, 2011
Last NPPES UpdateFebruary 5, 2019
✔ NPI 1780970673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X · License PH25270 (FL)
1555 PORT MALABAR BLVD NE STE 102B, Palm Bay, FL 32905
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Other Names 1

Doing Business AsAcquaviva's Ltc Pharmacy

Other Identifiers 2

Other2131033Pk
Medicaid104293900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl D Acquaviva's NPI number?

The NPI number for Carl D Acquaviva is 1780970673. It was assigned to this organization in the NPPES registry on June 20, 2011. The provider is doing business as Acquaviva's Ltc Pharmacy.

Where is Carl D Acquaviva located?

Carl D Acquaviva is located at 1555 Port Malabar Blvd NE Ste 102B, Palm Bay, FL 32905. The listed phone number is (321) 725-7188.

What is Carl D Acquaviva's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Carl D Acquaviva accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 46 other insurers list Carl D Acquaviva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carl D Acquaviva was last updated on February 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.