OrganizationActive
Carl D Acquaviva
NPI 1780970673 · Long Term Care Pharmacy · Palm Bay, FL
Provider details
- NPI number
- 1780970673
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Carl Acquaviva, Pharmacy Dept Manager(321) 768-1400
- License
- PH25270 (FL)
Specialties & taxonomies
Suppliers
Suppliers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1555 Port Malabar Blvd Ne Ste 102b
Palm Bay, FL 32905-5407
Phone: (321) 725-7188
Fax: (321) 728-1333
Street-level locationGet directions
Mailing address
1555 Port Malabar Blvd Ne
Palm Bay, FL 32905-5407
Other names (DBA / former)
- Doing business as
- Acquaviva'S Ltc Pharmacy
- Doing business as
- Acquaviva'S Ltc Pharmacy
Registry dates
- Enumerated
- 2011-06-20
- Last updated
- 2019-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.