{"npi":"1780970673","type":"NPI-2","status":"active","name":{"display":"Carl D Acquaviva","other":[],"organization_name":"CARL D ACQUAVIVA","authorised_official":"Carl Acquaviva"},"specialty":{"primary_taxonomy":"3336L0003X","primary_taxonomy_description":"Long Term Care Pharmacy","slug":"long-term-care-pharmacy","schema_org_specialty":null,"all":[{"code":"333600000X","description":"Pharmacy","primary":false,"state":"FL","license":"PH25270"},{"code":"3336L0003X","description":"Long Term Care Pharmacy","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"1555 PORT MALABAR BLVD NE STE 102B","city":"PALM BAY","state":"FL","postal_code":"329055407","country_code":"US","phone":"3217257188","fax":"3217281333"},{"purpose":"MAILING","street_1":"1555 PORT MALABAR BLVD NE","city":"PALM BAY","state":"FL","postal_code":"329055407","country_code":"US","street_2":"SUITE #102B","phone":"3217257188","fax":"3217281333"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"104293900","state":"FL","issuer":null},{"type_code":"01","label":"Other","value":"2131033","state":null,"issuer":"PK"}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2011-06-20","last_updated":"2019-02-05","_meta":{"source":"NPPES","snapshot_date":"2019-02-05","doc_url":"https://findmynpi.com/api"}}