Active NPI
Med-South, Inc.
- Parenteral & Enteral Nutrition Supplies (DME)
- Boaz, AL
National Provider Identifier
1689656522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- Legal business name
- MED-SOUTH, INC.
- Practice address
- 2330 US Highway 431
Boaz, AL 35957-5905 - Phone
- (256) 593-0677
- Fax
- (256) 593-0658
- NPI assigned
- Nov 16, 2005
- 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
- Mr. Stewart H Pace
- Title
- Sr Vice President of Corporate Deve
- Phone
- (205) 414-7525
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 188 | AL | |
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | Primary | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 900493 | AL |
Addresses
Primary practice location
2330 US Highway 431
Boaz, AL 35957-5905
Mailing address
406 Medical Center Dr
Jasper, AL 35501-3400
Phone (205) 221-8200
Other names 1
- Family Medical Store, LLC
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Fairhope, AL
- NPI 1225320773
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1689656522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "406 MEDICAL CENTER DR",
"city": "JASPER",
"state": "AL",
"postal_code": "355013400",
"telephone_number": "205-221-8200",
"fax_number": "205-221-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 US HIGHWAY 431",
"city": "BOAZ",
"state": "AL",
"postal_code": "359575905",
"telephone_number": "256-593-0677",
"fax_number": "256-593-0658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-SOUTH, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-16",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PACE",
"authorized_official_first_name": "STEWART",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "SR VICE PRESIDENT OF CORPORATE DEVE",
"authorized_official_telephone_number": "205-414-7525",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "AL",
"license": "188",
"primary": false
},
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": null,
"license": null,
"primary": true
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "AL",
"license": "900493",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Medical Store, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.