Carl D Acquaviva is an authorized DME supplier for medicare equipments and products.
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.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.
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