Herolds Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

10956 Issued in SC

Legal business name

HEROLDS PHARMACY LLC

Doing business as

Herold's Pharmacy

Practice address

2057 Charlie Hall Blvd Ste C
Charleston, SC 29414-6164

Phone

(843) 637-3037

Fax

(866) 728-6778

NPI assigned

Jan 30, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary WiseNPI 1861009227

Title

Owner, Pharmacist in Charge

Phone

(843) 754-8867

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Herold's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Wise

  • Pharmacist
  • Charleston, SC
  • NPI 1861009227
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1366774408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146164",
            "telephone_number": "843-637-3037",
            "fax_number": "866-728-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2057 CHARLIE HALL BLVD STE C",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294146164",
            "telephone_number": "843-637-3037",
            "fax_number": "866-728-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROLDS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-30",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "WISE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER, PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "843-754-8867"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": "10956",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "710956",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4229539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Herold's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ivana Hernandez, DO
• Kira Hernandez
• Kouta Martin Hernandez, RBT
• Manuel Hernandez, MS
• Kathleen Nmi Herold, MED, LPC
• Diana Herr, D.C.
• Holly Haldan Herr, PA
• Madison Herren
• Fernando A Herrera, MD
• Mark T Herrin, MD

• Community/Retail Pharmacy in Charleston, SC
• Providers in Charleston, SC by specialty
• Community/Retail Pharmacy in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.