NPIMap

Organization Active NPI

Family Medical Services, Inc.

Doing business as Montevallo Drug Company

  • Pharmacist
  • Montevallo, AL
National Provider Identifier
1629179239
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
106950 Issued in AL
Legal business name
FAMILY MEDICAL SERVICES, INC.
Doing business as
Montevallo Drug Company
Practice address
3990 Hwy 25
Montevallo, AL 35115
Phone
(205) 665-1261
Fax
(205) 665-1274
NPI assigned
Sep 26, 2006
Last updated
Nov 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Mr. William McDonald Ford, R.PH.
Title
Manager
Phone
(205) 665-1261

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacist 183500000X 106950 AL Primary

Addresses

Primary practice location

3990 Hwy 25
Montevallo, AL 35115

Mailing address

3990 Hwy 25
Montevallo, AL 35115
Phone (205) 665-1261

Other identifiers 1

IdentifierTypeStateIssuer
100002230MedicaidAL

Other names 1

  • Montevallo Drug Company Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930073074 AL DME Supplier - Pharmacy 8426151259 Practice locations: Montevallo, AL
O20130209000036 AL Part B Supplier - Pharmacy 8426151259 2 other NPIs on this enrollment
This NPI is an additional NPI on the 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
Jefferson Health FDN10 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

3601 Market St
Ste 104
Hoover, AL 35226
Phone (205) 238-9383

3990 Highway 25
Montevallo, AL 35115
Phone (205) 424-3194

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1629179239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 HWY 25",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "35115",
            "telephone_number": "205-665-1261",
            "fax_number": "205-665-1274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 HWY 25",
            "city": "MONTEVALLO",
            "state": "AL",
            "postal_code": "35115",
            "telephone_number": "205-665-1261",
            "fax_number": "205-665-1274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MCDONALD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "205-665-1261",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "106950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002230",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Montevallo Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Montevallo, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; 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.