HEROLD'S NORTH LLC NPI 1396166633

NPI Information

NPI: 1396166633
Provider Name: HEROLD'S NORTH, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Specialization: Customized Equipment
Entity Type: Organization
Doing Business As: WALT'S FAMILY PHARMACY
CLIA Number: 42D2272978
Address: 8983 UNIVERSITY BLVD
SUITE 105
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 628-3330

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NPI Details

HEROLD'S NORTH, LLC is a customized equipment durable medical equipment medical supplies in North Charleston, SC. HEROLD'S NORTH, LLC NPI is 1396166633. The provider is registered as an organization entity type.
The provider Is Doing Business As Walt's Family Pharmacy.

The provider's business location address is:

8983 UNIVERSITY BLVD
SUITE 105
NORTH CHARLESTON, SC
ZIP 29406
Phone: (843) 628-3330
Fax: (843) 300-1229

The provider's authorized official is Walt Walter Jeter .
The authorized official title is Pic and has the following contact phone number (184) 362-8333.

The CLIA number assigned to this NPI record is 42D2272978 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies			No
2	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment		Yes
3	3336C0003X	Pharmacy	Community/Retail Pharmacy	SOUTH CAROLINA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	715074	MEDICAID	SOUTH CAROLINA
2	DE3947	MEDICAID	SOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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