State Market Insights
By Category
All Pharmacies
1,539
Retail
1,179
Specialty
100
Hospital
36
LTC
156
MailOrder
33
Wholesale
8
Remote
27
Market Scale
Population
6,923,772
Density (all) /10k
2.23
Density (retail) /10k
1.70
Pharmacy Desert Counties
14
Avg. VigilScale™
56/100
Avg. Enrollment Age
14 yrs
Chain Mix
Solo (1)
422
Small Group (2–9)
196
Mid Chain (10–49)
19
Large Chain (50+)
173
Mega Chain
732
Special Designations
Independent
421
Sterile Compounding
47
3PL Distributor
1
Tele-Pharmacy
30
Government Owned
22
Non-Profit
31
Top Chains
WALGREENS
22%
WALMART
9%
CVS
8%
Tennessee Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Tennessee
Search recently enrolled pharmacies and filter by category
Tennessee Board of Pharmacy
State Regulator
Visit official state pharmacy board website
CSMD
Official Program Information
Prescription Drug Monitoring Program requirements and information
CSMD
Clinical Login
Look up patient prescription history before dispensing controlled substances
CSMD
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 1:6 (Certified) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 30 hrs biennially of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: Registration + certification.
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: Immediately.
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Next business day.
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: The board requires a mandatory PIC change fee and inventory..
Top Cities by Pharmacy Count
Largest pharmacy markets in Tennessee
Browse by County
All counties sorted by pharmacy count
Shelby County
926,440 pop · 149 retail · 1.61 density
Davidson County
709,786 pop · 131 retail · 1.85 density
Knox County
481,406 pop · 86 retail · 1.79 density
Hamilton County
367,193 pop · 81 retail · 2.21 density
Rutherford County
343,727 pop · 58 retail · 1.69 density
Williamson County
248,897 pop · 46 retail · 1.85 density
Sullivan County
158,722 pop · 37 retail · 2.33 density
Washington County
133,282 pop · 30 retail · 2.25 density
Montgomery County
222,305 pop · 27 retail · 1.21 density
Sumner County
196,845 pop · 29 retail · 1.47 density
Bradley County
108,859 pop · 21 retail · 1.93 density
Wilson County
149,096 pop · 22 retail · 1.48 density
Putnam County
80,157 pop · 18 retail · 2.25 density
Sevier County
98,455 pop · 21 retail · 2.13 density
Madison County
98,644 pop · 15 retail · 1.52 density
Blount County
135,951 pop · 18 retail · 1.32 density
Maury County
102,002 pop · 21 retail · 2.06 density
Hamblen County
64,531 pop · 13 retail · 2.01 density
Greene County
70,399 pop · 13 retail · 1.85 density
Anderson County
77,337 pop · 12 retail · 1.55 density
Robertson County
73,297 pop · 14 retail · 1.91 density
Coffee County
58,080 pop · 10 retail · 1.72 density
Dickson County
54,563 pop · 8 retail · 1.47 density
Gibson County
50,455 pop · 9 retail · 1.78 density
Loudon County
55,507 pop · 10 retail · 1.80 density
Carter County
56,315 pop · 9 retail · 1.60 density
Monroe County
46,489 pop · 9 retail · 1.94 density
Cocke County
36,186 pop · 7 retail · 1.93 density
Cumberland County
61,552 pop · 8 retail · 1.30 density
McMinn County
53,532 pop · 8 retail · 1.49 density
Roane County
53,777 pop · 9 retail · 1.67 density
Campbell County
39,397 pop · 6 retail · 1.52 density
Dyer County
36,818 pop · 9 retail · 2.44 density
Hardin County
26,824 pop · 6 retail · 2.24 density
Jefferson County
55,017 pop · 8 retail · 1.45 density
Tipton County
61,116 pop · 8 retail · 1.31 density
Warren County
41,163 pop · 7 retail · 1.70 density
Hawkins County
57,107 pop · 7 retail · 1.23 density
Lawrence County
44,377 pop · 8 retail · 1.80 density
Marshall County
34,567 pop · 7 retail · 2.03 density
Rhea County
33,031 pop · 5 retail · 1.51 density
Weakley County
32,946 pop · 6 retail · 1.82 density
Claiborne County
32,092 pop · 6 retail · 1.87 density
Franklin County
42,980 pop · 5 retail · 1.16 density
McNairy County
25,895 pop · 6 retail · 2.32 density
Scott County
21,917 pop · 6 retail · 2.74 density
Bedford County
50,533 pop · 6 retail · 1.19 density
Carroll County
28,381 pop · 5 retail · 1.76 density
Cheatham County
41,184 pop · 6 retail · 1.46 density
Fayette County
42,228 pop · 6 retail · 1.42 density
Giles County
30,317 pop · 5 retail · 1.65 density
Henry County
32,305 pop · 5 retail · 1.55 density
Marion County
28,852 pop · 6 retail · 2.08 density
Polk County
17,620 pop · 4 retail · 2.27 density
Unicoi County
17,845 pop · 6 retail · 3.36 density
DeKalb County
20,209 pop · 4 retail · 1.98 density
Haywood County
17,806 pop · 5 retail · 2.81 density
Henderson County
27,845 pop · 3 retail · 1.08 density
Hickman County
24,996 pop · 4 retail · 1.60 density
Lauderdale County
25,171 pop · 4 retail · 1.59 density
Macon County
25,365 pop · 4 retail · 1.58 density
White County
27,420 pop · 4 retail · 1.46 density
Benton County
15,933 pop · 2 retail · 1.26 density
Fentress County
18,642 pop · 2 retail · 1.07 density
Grainger County
23,648 pop · 3 retail · 1.27 density
Humphreys County
19,032 pop · 3 retail · 1.58 density
Lincoln CountyPharmacy Desert
35,365 pop · 3 retail · 0.85 density
Obion CountyPharmacy Desert
30,670 pop · 3 retail · 0.98 density
Sequatchie County
16,065 pop · 4 retail · 2.49 density
Wayne County
16,325 pop · 2 retail · 1.23 density
Hardeman County
25,519 pop · 3 retail · 1.18 density
Johnson County
17,982 pop · 2 retail · 1.11 density
Morgan County
21,124 pop · 3 retail · 1.42 density
Overton County
22,576 pop · 3 retail · 1.33 density
Trousdale CountyPharmacy Desert
11,596 pop · 1 retail · 0.86 density
Union County
19,860 pop · 3 retail · 1.51 density
Cannon County
14,481 pop · 2 retail · 1.38 density
Chester CountyPharmacy Desert
17,392 pop · 1 retail · 0.57 density
Clay County
7,592 pop · 2 retail · 2.63 density
Crockett CountyPharmacy Desert
13,955 pop · 1 retail · 0.72 density
Decatur CountyPharmacy Desert
11,483 pop · 0 retail · 0.00 density
Grundy CountyPharmacy Desert
13,550 pop · 1 retail · 0.74 density
Lewis County
12,637 pop · 2 retail · 1.58 density
Meigs County
12,839 pop · 2 retail · 1.56 density
Stewart CountyPharmacy Desert
13,724 pop · 0 retail · 0.00 density
Hancock County
6,726 pop · 1 retail · 1.49 density
Houston County
8,253 pop · 1 retail · 1.21 density
Perry County
8,432 pop · 1 retail · 1.19 density
Pickett County
5,042 pop · 1 retail · 1.98 density
Smith CountyPharmacy Desert
20,034 pop · 1 retail · 0.50 density
Bledsoe CountyPharmacy Desert
14,816 pop · 0 retail · 0.00 density
Jackson CountyPharmacy Desert
11,730 pop · 0 retail · 0.00 density
Lake CountyPharmacy Desert
6,898 pop · 0 retail · 0.00 density
Moore CountyPharmacy Desert
6,558 pop · 0 retail · 0.00 density
Van Buren CountyPharmacy Desert
6,182 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.