California Pharmacy Registry & Compliance Directory

Comprehensive database of pharmacy locations across 58 counties

State Market Insights

By Category

All Pharmacies 6,195
Retail 4,513
Specialty 324
Hospital 199
LTC 843
MailOrder 64
Wholesale 134
Remote 118

Market Scale

Population 39,356,104
Density (all) /10k 1.57
Density (retail) /10k 1.15
Pharmacy Desert Counties 18
Avg. VigilScale™ 54/100
Avg. Enrollment Age 14 yrs

Chain Mix

Solo (1) 1,926
Small Group (2–9) 623
Mid Chain (10–49) 227
Large Chain (50+) 1,026
Mega Chain 2,392

Special Designations

Independent 1,927
Sterile Compounding 153
Tele-Pharmacy 121
Government Owned 148
Non-Profit 155
Correctional 4
Top Chains WALGREENS 10% CVS 10% THRIFTY PAYLESS 8%

California Pharmacy Landscape

Quick Facts

Key regulatory requirements and practice standards

Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of 1:3 (Increased Jan 2026) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 30 hrs biennially (2 law, 1 cultural competency) of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: Registration required.
Intern Supervision
Pharmacy intern supervision follows this standard: 1:2.
Remote Pharmacy
Remote pharmacy work and telepharmacy services are governed by these rules: Permitted for clinical/entry.
Vaccine Authority
Pharmacist authority to administer vaccines: Independent (ages 3+).

Regulatory Warnings

Compliance requirements and monitoring obligations

Pharmacist in Charge Notification
When a Pharmacist in Charge (PIC) changes, the pharmacy must notify the state board within the following timeframe: 30 days.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Next business day (CURES).
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Mandatory every 6 months.
Board Inspection Focus
State pharmacy board inspections frequently focus on: Non-resident PICs must hold a CA license as of July 2026..

Top Cities by Pharmacy Count

Largest pharmacy markets in California

Browse by County

All counties sorted by pharmacy count

Los Angeles County 9,936,690 pop · 1,207 retail · 1.21 density
Orange County 3,175,227 pop · 437 retail · 1.38 density
San Diego County 3,289,701 pop · 333 retail · 1.01 density
Riverside County 2,429,487 pop · 266 retail · 1.09 density
San Bernardino CountyPharmacy Desert 2,180,563 pop · 205 retail · 0.94 density
Santa Clara County 1,916,831 pop · 197 retail · 1.03 density
Sacramento County 1,579,211 pop · 181 retail · 1.15 density
Alameda CountyPharmacy Desert 1,663,823 pop · 155 retail · 0.93 density
Ventura County 842,009 pop · 115 retail · 1.37 density
Kern County 906,883 pop · 117 retail · 1.29 density
Fresno County 1,008,280 pop · 123 retail · 1.22 density
San Francisco County 851,036 pop · 117 retail · 1.37 density
Contra Costa CountyPharmacy Desert 1,162,648 pop · 112 retail · 0.96 density
San Joaquin CountyPharmacy Desert 779,445 pop · 71 retail · 0.91 density
San Mateo CountyPharmacy Desert 754,250 pop · 71 retail · 0.94 density
Sonoma County 488,436 pop · 65 retail · 1.33 density
Placer County 406,608 pop · 60 retail · 1.48 density
Stanislaus CountyPharmacy Desert 552,063 pop · 52 retail · 0.94 density
Tulare CountyPharmacy Desert 473,446 pop · 47 retail · 0.99 density
Santa Barbara County 445,213 pop · 47 retail · 1.06 density
Solano CountyPharmacy Desert 450,995 pop · 42 retail · 0.93 density
Monterey County 437,609 pop · 44 retail · 1.01 density
San Luis Obispo County 281,712 pop · 38 retail · 1.35 density
Butte County 213,605 pop · 28 retail · 1.31 density
Marin County 260,485 pop · 29 retail · 1.11 density
Santa Cruz County 268,571 pop · 31 retail · 1.15 density
Shasta County 181,852 pop · 25 retail · 1.37 density
Imperial County 179,578 pop · 23 retail · 1.28 density
El Dorado County 191,713 pop · 29 retail · 1.51 density
Merced CountyPharmacy Desert 282,290 pop · 28 retail · 0.99 density
Yolo County 217,141 pop · 27 retail · 1.24 density
Kings County 152,515 pop · 19 retail · 1.25 density
Humboldt County 136,132 pop · 14 retail · 1.03 density
Sutter County 99,101 pop · 18 retail · 1.82 density
Madera County 157,243 pop · 20 retail · 1.27 density
Napa County 137,384 pop · 18 retail · 1.31 density
Yuba County 81,705 pop · 10 retail · 1.22 density
Mendocino County 91,145 pop · 12 retail · 1.32 density
Nevada CountyPharmacy Desert 102,322 pop · 10 retail · 0.98 density
Tehama County 65,484 pop · 8 retail · 1.22 density
Amador County 40,577 pop · 8 retail · 1.97 density
Lake CountyPharmacy Desert 68,024 pop · 5 retail · 0.74 density
San Benito County 64,753 pop · 7 retail · 1.08 density
Tuolumne County 54,993 pop · 6 retail · 1.09 density
Siskiyou County 44,049 pop · 5 retail · 1.14 density
Del Norte County 27,462 pop · 7 retail · 2.55 density
Lassen County 31,873 pop · 5 retail · 1.57 density
Calaveras County 45,674 pop · 5 retail · 1.09 density
Inyo County 18,829 pop · 3 retail · 1.59 density
Glenn County 28,657 pop · 4 retail · 1.40 density
Mono County 13,219 pop · 2 retail · 1.51 density
Trinity CountyPharmacy Desert 15,889 pop · 1 retail · 0.63 density
Colusa CountyPharmacy Desert 21,811 pop · 1 retail · 0.46 density
Mariposa CountyPharmacy Desert 17,130 pop · 1 retail · 0.58 density
Modoc CountyPharmacy Desert 8,651 pop · 0 retail · 0.00 density
Plumas CountyPharmacy Desert 19,650 pop · 1 retail · 0.51 density
Alpine CountyPharmacy Desert 1,515 pop · 0 retail · 0.00 density
Sierra CountyPharmacy Desert 2,916 pop · 0 retail · 0.00 density

* Pharmacy Desert: fewer than 1 retail pharmacy per 10,000 residents, based on 2026 NPI and ROPA billing data.