State Market Insights
By Category
All Pharmacies
145
Retail
43
Specialty
11
Hospital
17
LTC
67
MailOrder
2
Remote
5
Market Scale
Population
776,874
Density (all) /10k
1.87
Density (retail) /10k
0.55
Pharmacy Desert Counties
44
Avg. VigilScale™
68/100
Avg. Enrollment Age
15 yrs
Chain Mix
Solo (1)
71
Small Group (2–9)
32
Mid Chain (10–49)
6
Large Chain (50+)
30
Mega Chain
6
Special Designations
Independent
71
Sterile Compounding
5
Tele-Pharmacy
5
Government Owned
10
Non-Profit
6
Top Chains
WHITE DRUG CO OF JAMESTOWN
20%
GATEWAY PHARMACY
4%
AMERICAN DRUG STORES
4%
North Dakota Pharmacy Landscape
🔒 Browse New Pharmacy Openings in North Dakota
Search recently enrolled pharmacies and filter by category
North Dakota Board of Pharmacy
State Regulator
Visit official state pharmacy board website
ND PDMP
Official Program Information
Prescription Drug Monitoring Program requirements and information
ND PDMP
Clinical Login
Look up patient prescription history before dispensing controlled substances
ND PDMP
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 1:4 (Standard) 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: Certification mandatory.
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: Independent authority.
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: Immediately.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Daily.
PMP Query Requirements
Before dispensing controlled substances, pharmacists must check the Prescription Monitoring Program: Mandatory for Opioids.
Board Inspection Focus
State pharmacy board inspections frequently focus on: ND has the only 'Pharmacy Ownership' law (Majority must be RPh owned)..
Top Cities by Pharmacy Count
Largest pharmacy markets in North Dakota
Browse by County
All counties sorted by pharmacy count
Cass CountyPharmacy Desert
186,328 pop · 14 retail · 0.75 density
Burleigh CountyPharmacy Desert
98,443 pop · 5 retail · 0.51 density
Ward CountyPharmacy Desert
69,532 pop · 3 retail · 0.43 density
Grand Forks CountyPharmacy Desert
72,927 pop · 3 retail · 0.41 density
Morton CountyPharmacy Desert
33,192 pop · 2 retail · 0.60 density
Stark CountyPharmacy Desert
32,989 pop · 2 retail · 0.61 density
Rolette County
12,292 pop · 2 retail · 1.63 density
Stutsman CountyPharmacy Desert
21,609 pop · 0 retail · 0.00 density
Walsh County
10,553 pop · 2 retail · 1.90 density
McKenzie CountyPharmacy Desert
14,081 pop · 1 retail · 0.71 density
Mercer CountyPharmacy Desert
8,366 pop · 0 retail · 0.00 density
Pierce CountyPharmacy Desert
3,999 pop · 0 retail · 0.00 density
Ramsey County
11,613 pop · 2 retail · 1.72 density
Benson CountyPharmacy Desert
5,960 pop · 0 retail · 0.00 density
Bottineau CountyPharmacy Desert
6,411 pop · 0 retail · 0.00 density
Emmons County
3,297 pop · 1 retail · 3.03 density
LaMoure CountyPharmacy Desert
4,135 pop · 0 retail · 0.00 density
McHenry CountyPharmacy Desert
5,326 pop · 0 retail · 0.00 density
Pembina CountyPharmacy Desert
6,853 pop · 0 retail · 0.00 density
Richland CountyPharmacy Desert
16,548 pop · 0 retail · 0.00 density
Wells County
3,990 pop · 1 retail · 2.51 density
Williams CountyPharmacy Desert
39,076 pop · 1 retail · 0.26 density
Adams CountyPharmacy Desert
2,190 pop · 0 retail · 0.00 density
Barnes CountyPharmacy Desert
10,826 pop · 0 retail · 0.00 density
Bowman CountyPharmacy Desert
2,975 pop · 0 retail · 0.00 density
Dickey CountyPharmacy Desert
5,003 pop · 0 retail · 0.00 density
Dunn County
4,049 pop · 1 retail · 2.47 density
Foster CountyPharmacy Desert
3,388 pop · 0 retail · 0.00 density
Kidder County
2,391 pop · 1 retail · 4.18 density
Logan CountyPharmacy Desert
1,849 pop · 0 retail · 0.00 density
McIntosh County
2,529 pop · 1 retail · 3.95 density
Mountrail CountyPharmacy Desert
9,648 pop · 0 retail · 0.00 density
Nelson CountyPharmacy Desert
3,025 pop · 0 retail · 0.00 density
Ransom CountyPharmacy Desert
5,663 pop · 0 retail · 0.00 density
Renville CountyPharmacy Desert
2,282 pop · 0 retail · 0.00 density
Towner County
2,152 pop · 1 retail · 4.65 density
Billings CountyPharmacy Desert
839 pop · 0 retail · 0.00 density
Burke CountyPharmacy Desert
2,184 pop · 0 retail · 0.00 density
Cavalier CountyPharmacy Desert
3,691 pop · 0 retail · 0.00 density
Divide CountyPharmacy Desert
2,195 pop · 0 retail · 0.00 density
Eddy CountyPharmacy Desert
2,345 pop · 0 retail · 0.00 density
Golden Valley CountyPharmacy Desert
1,734 pop · 0 retail · 0.00 density
Grant CountyPharmacy Desert
2,320 pop · 0 retail · 0.00 density
Griggs CountyPharmacy Desert
2,309 pop · 0 retail · 0.00 density
Hettinger CountyPharmacy Desert
2,477 pop · 0 retail · 0.00 density
McLean CountyPharmacy Desert
9,781 pop · 0 retail · 0.00 density
Oliver CountyPharmacy Desert
1,832 pop · 0 retail · 0.00 density
Sargent CountyPharmacy Desert
3,828 pop · 0 retail · 0.00 density
Sheridan CountyPharmacy Desert
1,338 pop · 0 retail · 0.00 density
Sioux CountyPharmacy Desert
3,896 pop · 0 retail · 0.00 density
Slope CountyPharmacy Desert
837 pop · 0 retail · 0.00 density
Steele CountyPharmacy Desert
1,774 pop · 0 retail · 0.00 density
Traill CountyPharmacy Desert
8,004 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.