State Market Insights
By Category
All Pharmacies
1,146
Retail
843
Specialty
60
Hospital
43
LTC
143
MailOrder
26
Wholesale
4
Remote
27
Market Scale
Population
4,502,935
Density (all) /10k
2.54
Density (retail) /10k
1.87
Pharmacy Desert Counties
20
Avg. VigilScale™
55/100
Avg. Enrollment Age
13 yrs
Chain Mix
Solo (1)
332
Small Group (2–9)
217
Mid Chain (10–49)
56
Large Chain (50+)
82
Mega Chain
456
Special Designations
Independent
333
Sterile Compounding
27
Tele-Pharmacy
27
Government Owned
20
Non-Profit
45
Top Chains
WALGREENS
18%
KROGER
10%
WALMART
8%
Kentucky Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Kentucky
Search recently enrolled pharmacies and filter by category
Kentucky Board of Pharmacy
State Regulator
Visit official state pharmacy board website
KASPER
Official Program Information
Prescription Drug Monitoring Program requirements and information
KASPER
Clinical Login
Look up patient prescription history before dispensing controlled substances
KASPER
Data Submission Portal
Submit prescription dispensing data to state monitoring database
Quick Facts
Key regulatory requirements and practice standards
Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of None (Discretionary) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 15 hrs annually 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: 1:1.
Remote Pharmacy
Remote pharmacy work and telepharmacy services are governed by these rules: Permitted.
Vaccine Authority
Pharmacist authority to administer vaccines: Protocol-based.
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: 14 days.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Next business day (KASPER).
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Mandatory for all controls.
Board Inspection Focus
State pharmacy board inspections frequently focus on: KASPER was the first PMP in the U.S. and remains very strict..
Top Cities by Pharmacy Count
Largest pharmacy markets in Kentucky
Browse by County
All counties sorted by pharmacy count
Jefferson County
779,232 pop · 166 retail · 2.13 density
Fayette County
321,276 pop · 59 retail · 1.84 density
Pike County
58,196 pop · 21 retail · 3.61 density
Daviess County
102,916 pop · 22 retail · 2.14 density
Hardin County
111,005 pop · 20 retail · 1.80 density
Floyd County
35,780 pop · 20 retail · 5.59 density
Kenton County
169,066 pop · 19 retail · 1.12 density
Boone County
136,150 pop · 20 retail · 1.47 density
Madison County
92,955 pop · 17 retail · 1.83 density
McCracken County
67,573 pop · 15 retail · 2.22 density
Warren County
135,307 pop · 14 retail · 1.03 density
Barren County
44,511 pop · 10 retail · 2.25 density
Pulaski County
65,145 pop · 12 retail · 1.84 density
Boyd County
48,242 pop · 11 retail · 2.28 density
Campbell County
93,122 pop · 13 retail · 1.40 density
Perry County
28,136 pop · 11 retail · 3.91 density
Bullitt CountyPharmacy Desert
82,482 pop · 8 retail · 0.97 density
Jessamine County
53,381 pop · 10 retail · 1.87 density
Whitley County
36,648 pop · 11 retail · 3.00 density
Christian County
72,766 pop · 10 retail · 1.37 density
Oldham County
67,997 pop · 12 retail · 1.76 density
Calloway County
37,345 pop · 9 retail · 2.41 density
Hopkins County
45,223 pop · 11 retail · 2.43 density
Clark County
36,897 pop · 9 retail · 2.44 density
Harlan County
26,589 pop · 10 retail · 3.76 density
Bell County
24,248 pop · 7 retail · 2.89 density
Boyle County
30,613 pop · 6 retail · 1.96 density
Franklin County
51,475 pop · 10 retail · 1.94 density
Wayne County
19,666 pop · 10 retail · 5.08 density
Graves County
36,701 pop · 5 retail · 1.36 density
Johnson County
22,631 pop · 6 retail · 2.65 density
Laurel County
62,442 pop · 8 retail · 1.28 density
Marshall County
31,706 pop · 5 retail · 1.58 density
Scott County
57,286 pop · 8 retail · 1.40 density
Shelby County
48,105 pop · 6 retail · 1.25 density
Clay County
20,322 pop · 7 retail · 3.44 density
Henderson CountyPharmacy Desert
44,770 pop · 4 retail · 0.89 density
Nelson CountyPharmacy Desert
46,779 pop · 4 retail · 0.86 density
Rowan County
24,551 pop · 7 retail · 2.85 density
Adair County
18,887 pop · 5 retail · 2.65 density
Carter County
26,671 pop · 5 retail · 1.87 density
Casey County
15,942 pop · 7 retail · 4.39 density
Letcher County
21,490 pop · 5 retail · 2.33 density
Mason County
17,068 pop · 6 retail · 3.52 density
Montgomery County
28,188 pop · 6 retail · 2.13 density
Muhlenberg County
30,735 pop · 4 retail · 1.30 density
Estill County
14,138 pop · 5 retail · 3.54 density
Grayson County
26,465 pop · 5 retail · 1.89 density
Green County
11,198 pop · 5 retail · 4.47 density
Greenup County
35,853 pop · 4 retail · 1.12 density
Knox County
30,207 pop · 4 retail · 1.32 density
Mercer County
22,662 pop · 5 retail · 2.21 density
Taylor County
26,056 pop · 4 retail · 1.54 density
Caldwell County
12,635 pop · 2 retail · 1.58 density
Carroll County
10,842 pop · 5 retail · 4.61 density
Clinton County
9,295 pop · 4 retail · 4.30 density
Grant County
25,085 pop · 4 retail · 1.59 density
Harrison County
18,803 pop · 5 retail · 2.66 density
Marion County
19,627 pop · 4 retail · 2.04 density
Martin County
11,298 pop · 3 retail · 2.66 density
Russell County
18,021 pop · 3 retail · 1.66 density
Simpson County
19,574 pop · 4 retail · 2.04 density
Union County
13,495 pop · 4 retail · 2.96 density
Anderson County
23,839 pop · 4 retail · 1.68 density
Bath County
12,739 pop · 2 retail · 1.57 density
Bourbon County
20,228 pop · 4 retail · 1.98 density
Edmonson County
12,179 pop · 2 retail · 1.64 density
Knott County
14,282 pop · 4 retail · 2.80 density
Magoffin County
11,647 pop · 3 retail · 2.58 density
Webster County
12,951 pop · 4 retail · 3.09 density
Woodford County
26,886 pop · 3 retail · 1.12 density
Breckinridge CountyPharmacy Desert
20,528 pop · 2 retail · 0.97 density
Butler County
12,365 pop · 3 retail · 2.43 density
Fulton County
6,480 pop · 3 retail · 4.63 density
Hart County
19,345 pop · 2 retail · 1.03 density
Jackson County
13,002 pop · 3 retail · 2.31 density
Leslie County
10,468 pop · 3 retail · 2.87 density
Lincoln County
24,320 pop · 3 retail · 1.23 density
Logan County
27,498 pop · 3 retail · 1.09 density
Meade CountyPharmacy Desert
29,964 pop · 2 retail · 0.67 density
Ohio CountyPharmacy Desert
23,782 pop · 2 retail · 0.84 density
Powell County
13,089 pop · 3 retail · 2.29 density
Rockcastle County
16,171 pop · 3 retail · 1.86 density
Washington CountyPharmacy Desert
12,025 pop · 1 retail · 0.83 density
Allen CountyPharmacy Desert
20,773 pop · 1 retail · 0.48 density
Ballard County
7,742 pop · 1 retail · 1.29 density
Breathitt County
13,580 pop · 2 retail · 1.47 density
Carlisle County
4,782 pop · 2 retail · 4.18 density
Crittenden County
8,979 pop · 1 retail · 1.11 density
Fleming CountyPharmacy Desert
15,111 pop · 0 retail · 0.00 density
Garrard County
17,175 pop · 2 retail · 1.16 density
Henry County
15,731 pop · 2 retail · 1.27 density
Larue County
14,902 pop · 2 retail · 1.34 density
Lawrence County
16,228 pop · 2 retail · 1.23 density
Lee County
7,338 pop · 2 retail · 2.73 density
McCreary County
16,892 pop · 2 retail · 1.18 density
McLean County
9,173 pop · 2 retail · 2.18 density
Metcalfe CountyPharmacy Desert
10,313 pop · 1 retail · 0.97 density
Monroe CountyPharmacy Desert
11,331 pop · 1 retail · 0.88 density
Morgan County
13,840 pop · 2 retail · 1.45 density
Nicholas County
7,613 pop · 2 retail · 2.63 density
Owen County
11,229 pop · 2 retail · 1.78 density
Owsley County
4,054 pop · 1 retail · 2.47 density
Pendleton County
14,638 pop · 2 retail · 1.37 density
Spencer CountyPharmacy Desert
19,549 pop · 1 retail · 0.51 density
Todd CountyPharmacy Desert
12,281 pop · 1 retail · 0.81 density
Trimble County
8,510 pop · 2 retail · 2.35 density
Bracken County
8,420 pop · 1 retail · 1.19 density
Cumberland County
5,974 pop · 1 retail · 1.67 density
Elliott County
7,378 pop · 1 retail · 1.36 density
Gallatin County
8,720 pop · 1 retail · 1.15 density
Hancock County
9,058 pop · 1 retail · 1.10 density
Hickman County
4,491 pop · 1 retail · 2.23 density
Lewis CountyPharmacy Desert
13,063 pop · 1 retail · 0.77 density
Livingston CountyPharmacy Desert
8,980 pop · 0 retail · 0.00 density
Wolfe CountyPharmacy Desert
6,573 pop · 0 retail · 0.00 density
Lyon CountyPharmacy Desert
8,721 pop · 0 retail · 0.00 density
Menifee CountyPharmacy Desert
6,174 pop · 0 retail · 0.00 density
Robertson CountyPharmacy Desert
2,207 pop · 0 retail · 0.00 density
Trigg CountyPharmacy Desert
14,154 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.