Carl D Acquaviva
Community/Retail Pharmacy
1555 Port Malabar Blvd Ne, Unit 101, Palm Bay
Florida, 32905-5407
321-725-7188 321-728-1333
Carl D Acquaviva is a Community/Retail Pharmacy in Palm Bay, Florida. It is located at 1555 Port Malabar Blvd Ne, Unit 101, Palm Bay and it's customer support contact number is 321-725-7188. The authorized person of Carl D Acquaviva is Carl D Acquaviva, RPH who is Owner Pharmacist of the pharmacy and his contact number is 321-725-7188. Active license number of Carl D Acquaviva is PH10316 for Community/Retail Pharmacy in Florida. Carl D Acquaviva accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Carl D Acquaviva is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Carl D Acquaviva type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Carl D Acquaviva |
| Type: | Community/Retail Pharmacy |
| Location: | 1555 Port Malabar Blvd Ne, Unit 101, Palm Bay,
Florida, 32905-5407 |
| Phone: | 321-725-7188 |
| Fax: | 321-728-1333 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Carl D Acquaviva |
| Credentials: | RPH |
| Position: | Owner Pharmacist |
| Contact Number: | 321-725-7188 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1013928514 |
| NPI Enumeration Date: | 10 Aug, 2006 |
| NPI Last Update On: | 02 Apr, 2009 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Carl D Acquaviva are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | PH10316 | Florida | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
| Pharmacy | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 1038036 | Other | | Ncpdp Provider Identification Number |
| 104293901 | Medicaid | Florida | |
| 104293900 | Medicaid | Florida | |
Medicare Enrollment:
Carl D Acquaviva is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3678553286 | O20081022000423 | Carl D Acquaviva | PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY) |
| 3678553286 | O20100930083013 | Carl D Acquaviva | DME SUPPLIER - PHARMACY |
Products Available:
Carl D Acquaviva has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Non-mail Order | • Breast Prostheses & Accessories |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Cpap, Rads, & Related Supplies & Accessories | • Diabetic Shoes & Inserts: Custom Fabricated |
| • Diabetic Shoes & Inserts: Prefabricated | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Nebulizer Equipment & Supplies |
| • Orthoses: Off-the-shelf | • Orthoses: Prefabricated |
| • Ostomy Supplies | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Seat Lift Mechanisms |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Transcutaneous Electrical Nerve Stimulators (tens) Units | • Urological Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | • Wheelchairs & Accessories: Standard Power |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1555 Port Malabar Blvd Ne, Unit 101
Palm Bay, Florida |
| Zip: | 32905-5407 |
| Phone Number: | 321-725-7188 |
| Fax Number: | 321-728-1333 |
Patients can reach Carl D Acquaviva at
1555 Port Malabar Blvd Ne, Unit 101, Palm Bay, Florida or can
call on customer care at 321-725-7188.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.