Active NPI
Herold'S North, LLC
- Customized Equipment (DME)
- North Charleston, SC
National Provider Identifier
1396166633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715074 | Medicaid | SC | |
| DE3947 | Medicaid | SC |
Other names 1
- WALT'S FAMILY PHARMACY
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rx@heroldsnorth.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190729000562 | SC | DME Supplier - Pharmacy | 8820324957 | Practice locations: North Charleston, SC |
| O20231115003890 | SC | Part B Supplier - Pharmacy | 8820324957 | Practice locations: North Charleston, SC |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 42D2272978 | Herold'S North, LLC | Certificate of waiver | Dec 4, 2026 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Herold'S North, LLC | 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 assignment |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- North Charleston, SC
- NPI 1013336585
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.