Organization Active NPI

Family Medical Services Inc

Doing business as Family Medical Services Pharmacy

  • Health Service Clinic/Center
  • Bessemer, AL
National Provider Identifier
1205943529
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
FAMILY MEDICAL SERVICES INC
Doing business as
Family Medical Services Pharmacy
Practice address
1817 13TH Ave N
Bessemer, AL 35020-3246
Phone
(205) 424-3194
Fax
(205) 424-3180
NPI assigned
Aug 23, 2006
Last updated
Apr 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Anthony J Bolus, PHARMD
Title
VP Clinical Coordinator
Phone
(205) 424-3194

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Health Service Clinic/Center 261QH0100X NU Primary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Community/Retail Pharmacy 3336C0003X 103867 AL

Addresses

Primary practice location

1817 13TH Ave N
Bessemer, AL 35020-3246

Mailing address

1817 13TH Ave N
Bessemer, AL 35020-3246
Phone (205) 424-3194

Other identifiers 3

IdentifierTypeStateIssuer
1991656OtherPK
100002152MedicaidAL
009943768MedicaidAL

Other names 1

  • FAMILY MEDICAL SERVICES PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070314000596 AL Part B Supplier - Mass Immunization (Roster Biller Only) 8426151259 Practice locations: Bessemer, AL; Jasper, AL; Montevallo, AL
O20100930041018 AL DME Supplier - Pharmacy 8426151259 Practice locations: Bessemer, AL
O20130209000036 AL Part B Supplier - Pharmacy 8426151259 2 other NPIs on this enrollment
Practice locations: Bessemer, AL; Jasper, AL; Montevallo, AL

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Family Med Serv10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1819 13th Ave N
Bessemer, AL 35020
Phone (205) 424-3194

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1205943529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 13TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350203246",
            "telephone_number": "205-424-3194",
            "fax_number": "205-424-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 13TH AVE N",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350203246",
            "telephone_number": "205-424-3194",
            "fax_number": "205-424-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "BOLUS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "VP CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "205-424-3194",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "103867",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1991656",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002152",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009943768",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY MEDICAL SERVICES PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bessemer, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.