Organization Active NPI

Herold'S North, LLC

  • Customized Equipment (DME)
  • North Charleston, SC
National Provider Identifier
1396166633
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HEROLD'S NORTH, LLC
Practice address
8983 University Blvd
Suite 105
North Charleston, SC 29406
Phone
(843) 628-3330
Fax
(843) 300-1229
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Walt Walter Jeter, RPH
Title
Pic
Phone
(184) 362-8333

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X Primary
Community/Retail Pharmacy 3336C0003X SC

Addresses

Primary practice location

8983 University Blvd
Suite 105
North Charleston, SC 29406

Mailing address

8983 University Blvd
Suite 105
North Charleston, SC 29406-7102
Phone (843) 628-3330

Other identifiers 2

IdentifierTypeStateIssuer
715074MedicaidSC
DE3947MedicaidSC

Other names 1

  • WALT'S FAMILY PHARMACY Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx@heroldsnorth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20190729000562 SC DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 8820324957 Practice locations: North Charleston, SC
O20231115003890 SC Part B Supplier - Pharmacy 8820324957 Practice locations: North Charleston, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D2272978Herold'S North, LLC8983 University Blvd, Suite 105, North Charleston, SC 29406Certificate of waiverDec 4, 2026

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Herold'S North, LLC8983 University Blvd, North Charleston, SC 29406-7102(843) 628-3330 Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Neuromuscular Elect Stimulators (NMES)/Supplies|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Power Operated V… Does not accept assignmentParticipating since Aug 9, 2019

National Provider Directory

National Provider Directory

Locations

8983 University Blvd
Ste 105
North Charleston, SC 29406
Phone (843) 628-3330

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1396166633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8983 UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "294067102",
            "telephone_number": "843-628-3330",
            "fax_number": "843-300-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8983 UNIVERSITY BLVD",
            "address_2": "SUITE 105",
            "city": "NORTH CHARLESTON",
            "state": "SC",
            "postal_code": "29406",
            "telephone_number": "843-628-3330",
            "fax_number": "843-300-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEROLD'S NORTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "JETER",
        "authorized_official_first_name": "WALT",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "184-362-8333",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "SC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "715074",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DE3947",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx@heroldsnorth.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "8983 University Blvd Ste 105",
            "city": "North Charleston",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294067102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "WALT'S FAMILY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.