The inventive concept herein relates to medication service terminals and methods of monitoring the same, and more particularly, to a method of monitoring medication states of a plurality of users. The medication service terminal in accordance with the inventive concept may include a situation judgment module judging a medication situation with reference to a medication providing schedule and a terminal state that are provided from a server; and an output module determining a medication service corresponding to the medication situation and providing the determined medication service in the form that a user can sense. A communication with the server is performed only when the situation judgment module receives a medicine providing schedule from the server. According to some embodiments of the inventive concept, a medication monitoring system can be effectively provided to a massive user.