Texas Pharmacy Registry & Compliance Directory

Comprehensive database of pharmacy locations across 254 counties

State Market Insights

By Category

All Pharmacies 5,596
Retail 4,247
Specialty 491
Hospital 142
LTC 547
MailOrder 99
Wholesale 46
Remote 24

Market Scale

Population 29,243,342
Density (all) /10k 1.91
Density (retail) /10k 1.45
Pharmacy Desert Counties 88
Avg. VigilScale™ 55/100
Avg. Enrollment Age 13 yrs

Chain Mix

Solo (1) 1,662
Small Group (2–9) 657
Mid Chain (10–49) 199
Large Chain (50+) 926
Mega Chain 2,152

Special Designations

Independent 1,662
Sterile Compounding 181
3PL Distributor 1
Tele-Pharmacy 25
Government Owned 140
Non-Profit 137
Top Chains WALGREENS 14% CVS 13% WALMART 9%

Texas Pharmacy Landscape

Quick Facts

Key regulatory requirements and practice standards

Pharmacist-Technician Ratio
State regulations require a pharmacist-to-technician ratio of 1:6 (Class A) to maintain safe pharmacy operations.
Continuing Education
Pharmacists must complete 30 hrs biennially (2 law, 1 human trafficking) of continuing education to maintain active licensure.
Technician Requirements
Pharmacy technicians in this state must meet the following requirement: National 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 for Flu (7+).

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: 10 days (Requires drug inventory).
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 Opioids/Benzos.
Board Inspection Focus
State pharmacy board inspections frequently focus on: Mandatory check of PMP database before every dispense of a target drug..

Top Cities by Pharmacy Count

Largest pharmacy markets in Texas

Browse by County

All counties sorted by pharmacy count

Harris County 4,726,177 pop · 755 retail · 1.60 density
Dallas County 2,604,053 pop · 366 retail · 1.41 density
Tarrant County 2,113,854 pop · 316 retail · 1.49 density
Bexar County 2,014,059 pop · 255 retail · 1.27 density
Fort Bend County 832,607 pop · 201 retail · 2.41 density
Collin County 1,079,153 pop · 222 retail · 2.06 density
Travis County 1,289,054 pop · 153 retail · 1.19 density
Denton County 914,870 pop · 110 retail · 1.20 density
El Paso County 863,832 pop · 102 retail · 1.18 density
Hidalgo County 873,167 pop · 92 retail · 1.05 density
Montgomery County 629,989 pop · 109 retail · 1.73 density
Williamson County 617,396 pop · 84 retail · 1.36 density
Brazoria County 374,600 pop · 80 retail · 2.14 density
Galveston County 350,801 pop · 72 retail · 2.05 density
Cameron County 421,854 pop · 44 retail · 1.04 density
Smith County 234,667 pop · 48 retail · 2.05 density
Lubbock County 311,509 pop · 46 retail · 1.48 density
Nueces County 353,245 pop · 45 retail · 1.27 density
Bell County 372,821 pop · 40 retail · 1.07 density
Jefferson County 254,942 pop · 30 retail · 1.18 density
Ellis County 195,509 pop · 32 retail · 1.64 density
Brazos County 234,548 pop · 34 retail · 1.45 density
McLennan County 261,090 pop · 32 retail · 1.23 density
Gregg County 124,245 pop · 30 retail · 2.41 density
Hays County 245,351 pop · 28 retail · 1.14 density
Comal County 165,201 pop · 22 retail · 1.33 density
Potter County 117,905 pop · 20 retail · 1.70 density
Grayson County 137,008 pop · 26 retail · 1.90 density
Webb CountyPharmacy Desert 267,282 pop · 26 retail · 0.97 density
Johnson County 182,690 pop · 26 retail · 1.42 density
Midland County 169,393 pop · 18 retail · 1.06 density
Taylor County 143,029 pop · 15 retail · 1.05 density
Bowie County 92,747 pop · 19 retail · 2.05 density
Tom Green County 119,276 pop · 18 retail · 1.51 density
Parker County 151,188 pop · 18 retail · 1.19 density
Rockwall County 110,631 pop · 22 retail · 1.99 density
Hunt County 101,596 pop · 18 retail · 1.77 density
Ector County 162,300 pop · 18 retail · 1.11 density
Guadalupe CountyPharmacy Desert 173,828 pop · 14 retail · 0.81 density
Wichita CountyPharmacy Desert 129,584 pop · 11 retail · 0.85 density
Kaufman County 149,773 pop · 18 retail · 1.20 density
Henderson County 82,627 pop · 16 retail · 1.94 density
Victoria County 91,209 pop · 17 retail · 1.86 density
Liberty County 93,523 pop · 14 retail · 1.50 density
Randall CountyPharmacy Desert 141,489 pop · 14 retail · 0.99 density
Angelina County 86,608 pop · 11 retail · 1.27 density
Orange County 84,761 pop · 12 retail · 1.42 density
Coryell CountyPharmacy Desert 82,927 pop · 7 retail · 0.84 density
Hardin County 56,576 pop · 11 retail · 1.94 density
Lamar County 50,149 pop · 9 retail · 1.79 density
Nacogdoches County 64,768 pop · 9 retail · 1.39 density
Bastrop County 98,435 pop · 10 retail · 1.02 density
Cherokee County 50,824 pop · 8 retail · 1.57 density
Harrison County 69,098 pop · 11 retail · 1.59 density
Kerr CountyPharmacy Desert 52,810 pop · 5 retail · 0.95 density
San Patricio County 68,942 pop · 11 retail · 1.60 density
Van Zandt County 60,053 pop · 10 retail · 1.67 density
Wharton County 41,614 pop · 11 retail · 2.64 density
Polk County 50,536 pop · 9 retail · 1.78 density
Wise CountyPharmacy Desert 70,062 pop · 6 retail · 0.86 density
Wood County 45,341 pop · 9 retail · 1.98 density
Hood County 62,459 pop · 9 retail · 1.44 density
Walker County 77,182 pop · 8 retail · 1.04 density
Hopkins County 37,008 pop · 6 retail · 1.62 density
Kendall CountyPharmacy Desert 45,376 pop · 4 retail · 0.88 density
Titus County 31,301 pop · 7 retail · 2.24 density
Hill County 36,138 pop · 5 retail · 1.38 density
Starr CountyPharmacy Desert 65,716 pop · 5 retail · 0.76 density
Val Verde CountyPharmacy Desert 47,693 pop · 4 retail · 0.84 density
Anderson County 58,077 pop · 6 retail · 1.03 density
Atascosa County 49,403 pop · 6 retail · 1.21 density
Austin County 30,406 pop · 7 retail · 2.30 density
Burnet County 49,684 pop · 6 retail · 1.21 density
Fannin CountyPharmacy Desert 36,052 pop · 3 retail · 0.83 density
Jasper County 33,032 pop · 7 retail · 2.12 density
Maverick County 57,806 pop · 6 retail · 1.04 density
Medina County 51,432 pop · 7 retail · 1.36 density
Navarro County 52,834 pop · 6 retail · 1.14 density
Rusk County 52,755 pop · 6 retail · 1.14 density
Colorado County 20,582 pop · 4 retail · 1.94 density
Cooke County 41,860 pop · 5 retail · 1.19 density
Kleberg County 30,860 pop · 5 retail · 1.62 density
Matagorda County 36,251 pop · 6 retail · 1.66 density
Milam County 25,080 pop · 5 retail · 1.99 density
Andrews County 18,362 pop · 4 retail · 2.18 density
Bee CountyPharmacy Desert 30,977 pop · 3 retail · 0.97 density
Brown CountyPharmacy Desert 38,159 pop · 2 retail · 0.52 density
Caldwell CountyPharmacy Desert 46,141 pop · 3 retail · 0.65 density
Cass County 28,637 pop · 4 retail · 1.40 density
DeWitt County 19,826 pop · 4 retail · 2.02 density
Eastland County 17,812 pop · 4 retail · 2.25 density
Erath CountyPharmacy Desert 42,788 pop · 4 retail · 0.93 density
Fayette County 24,564 pop · 3 retail · 1.22 density
Houston County 22,107 pop · 4 retail · 1.81 density
Howard County 34,488 pop · 4 retail · 1.16 density
Jackson County 15,010 pop · 5 retail · 3.33 density
Lavaca County 20,379 pop · 3 retail · 1.47 density
Limestone County 22,222 pop · 5 retail · 2.25 density
Palo Pinto County 28,569 pop · 5 retail · 1.75 density
Shelby County 24,157 pop · 5 retail · 2.07 density
Uvalde County 24,833 pop · 5 retail · 2.01 density
Waller CountyPharmacy Desert 57,463 pop · 4 retail · 0.70 density
Washington County 35,807 pop · 5 retail · 1.40 density
Willacy County 20,308 pop · 4 retail · 1.97 density
Wilson CountyPharmacy Desert 50,381 pop · 4 retail · 0.79 density
Bosque County 18,404 pop · 2 retail · 1.09 density
Brooks County 7,059 pop · 3 retail · 4.25 density
Burleson County 17,958 pop · 4 retail · 2.23 density
Chambers CountyPharmacy Desert 47,037 pop · 4 retail · 0.85 density
Comanche County 13,651 pop · 3 retail · 2.20 density
Deaf Smith County 18,585 pop · 2 retail · 1.08 density
Gillespie County 26,953 pop · 4 retail · 1.48 density
Gonzales County 19,736 pop · 3 retail · 1.52 density
Gray County 21,272 pop · 3 retail · 1.41 density
Hale County 32,525 pop · 4 retail · 1.23 density
Hamilton County 8,244 pop · 2 retail · 2.43 density
Leon County 15,928 pop · 4 retail · 2.51 density
Morris County 11,993 pop · 4 retail · 3.34 density
Nolan County 14,657 pop · 4 retail · 2.73 density
Trinity County 13,735 pop · 4 retail · 2.91 density
Wilbarger CountyPharmacy Desert 12,795 pop · 1 retail · 0.78 density
Winkler County 7,582 pop · 3 retail · 3.96 density
Zapata County 13,896 pop · 3 retail · 2.16 density
Aransas County 24,048 pop · 3 retail · 1.25 density
Dawson County 12,342 pop · 3 retail · 2.43 density
Dimmit County 8,672 pop · 2 retail · 2.31 density
Franklin County 10,445 pop · 3 retail · 2.87 density
Frio County 18,151 pop · 3 retail · 1.65 density
Gaines County 21,523 pop · 3 retail · 1.39 density
Grimes County 29,442 pop · 3 retail · 1.02 density
Jim Wells CountyPharmacy Desert 39,060 pop · 3 retail · 0.77 density
Karnes County 14,805 pop · 2 retail · 1.35 density
Kimble County 4,316 pop · 3 retail · 6.95 density
Lamb County 13,024 pop · 2 retail · 1.54 density
Madison County 13,556 pop · 3 retail · 2.21 density
Montague County 20,197 pop · 3 retail · 1.49 density
Moore CountyPharmacy Desert 21,284 pop · 2 retail · 0.94 density
Panola County 22,540 pop · 3 retail · 1.33 density
Rains County 12,257 pop · 3 retail · 2.45 density
Reeves County 14,022 pop · 3 retail · 2.14 density
Robertson County 16,912 pop · 3 retail · 1.77 density
San Augustine County 7,920 pop · 3 retail · 3.79 density
San Jacinto CountyPharmacy Desert 27,666 pop · 2 retail · 0.72 density
Scurry County 16,883 pop · 2 retail · 1.18 density
Ward County 11,347 pop · 2 retail · 1.76 density
Calhoun CountyPharmacy Desert 20,127 pop · 2 retail · 0.99 density
Camp County 12,543 pop · 2 retail · 1.59 density
Childress County 6,781 pop · 1 retail · 1.47 density
Crockett CountyPharmacy Desert 2,949 pop · 0 retail · 0.00 density
Culberson County 2,181 pop · 2 retail · 9.17 density
Dallam CountyPharmacy Desert 7,165 pop · 0 retail · 0.00 density
Donley County 3,298 pop · 1 retail · 3.03 density
Falls County 17,013 pop · 2 retail · 1.18 density
Freestone CountyPharmacy Desert 19,599 pop · 1 retail · 0.51 density
Garza County 5,735 pop · 1 retail · 1.74 density
Haskell County 5,408 pop · 1 retail · 1.85 density
Hockley CountyPharmacy Desert 21,495 pop · 2 retail · 0.93 density
Hutchinson CountyPharmacy Desert 20,595 pop · 2 retail · 0.97 density
Jack County 8,588 pop · 1 retail · 1.16 density
Jim Hogg County 4,830 pop · 2 retail · 4.14 density
Jones County 19,758 pop · 2 retail · 1.01 density
Lampasas CountyPharmacy Desert 21,829 pop · 2 retail · 0.92 density
Lee County 17,543 pop · 2 retail · 1.14 density
McCulloch County 7,638 pop · 1 retail · 1.31 density
Mitchell County 8,947 pop · 1 retail · 1.12 density
Ochiltree County 9,924 pop · 2 retail · 2.02 density
Pecos County 15,114 pop · 2 retail · 1.32 density
Somervell County 9,337 pop · 2 retail · 2.14 density
Stephens County 9,260 pop · 1 retail · 1.08 density
Sutton County 3,345 pop · 2 retail · 5.98 density
Tyler County 19,962 pop · 2 retail · 1.00 density
Upshur CountyPharmacy Desert 41,261 pop · 1 retail · 0.24 density
Upton County 3,284 pop · 1 retail · 3.05 density
Wheeler CountyPharmacy Desert 4,980 pop · 0 retail · 0.00 density
Young County 17,903 pop · 2 retail · 1.12 density
Archer County 8,649 pop · 1 retail · 1.16 density
Armstrong CountyPharmacy Desert 1,912 pop · 0 retail · 0.00 density
Bailey CountyPharmacy Desert 6,902 pop · 0 retail · 0.00 density
Bandera CountyPharmacy Desert 21,182 pop · 1 retail · 0.47 density
Baylor County 3,475 pop · 1 retail · 2.88 density
Brewster County 9,454 pop · 1 retail · 1.06 density
Briscoe County 1,290 pop · 1 retail · 7.75 density
Castro CountyPharmacy Desert 7,381 pop · 0 retail · 0.00 density
Clay CountyPharmacy Desert 10,290 pop · 0 retail · 0.00 density
Cochran County 2,529 pop · 1 retail · 3.95 density
Coleman CountyPharmacy Desert 7,808 pop · 0 retail · 0.00 density
Crane CountyPharmacy Desert 4,636 pop · 0 retail · 0.00 density
Crosby County 5,157 pop · 1 retail · 1.94 density
Duval County 9,960 pop · 1 retail · 1.00 density
Floyd County 5,386 pop · 1 retail · 1.86 density
Foard CountyPharmacy Desert 1,075 pop · 0 retail · 0.00 density
Goliad County 7,092 pop · 1 retail · 1.41 density
Hall County 2,847 pop · 1 retail · 3.51 density
Hansford CountyPharmacy Desert 5,270 pop · 0 retail · 0.00 density
Hemphill CountyPharmacy Desert 3,371 pop · 0 retail · 0.00 density
Kinney County 3,157 pop · 1 retail · 3.17 density
Live Oak CountyPharmacy Desert 11,374 pop · 0 retail · 0.00 density
Llano CountyPharmacy Desert 21,637 pop · 0 retail · 0.00 density
Marion County 9,668 pop · 1 retail · 1.03 density
Mason County 3,959 pop · 1 retail · 2.53 density
Menard County 1,964 pop · 1 retail · 5.09 density
Mills CountyPharmacy Desert 4,501 pop · 0 retail · 0.00 density
Motley County 1,223 pop · 1 retail · 8.18 density
Newton CountyPharmacy Desert 12,333 pop · 1 retail · 0.81 density
Parmer CountyPharmacy Desert 9,809 pop · 0 retail · 0.00 density
Reagan CountyPharmacy Desert 3,308 pop · 0 retail · 0.00 density
Red River CountyPharmacy Desert 11,627 pop · 1 retail · 0.86 density
Runnels County 9,858 pop · 1 retail · 1.01 density
Sabine County 9,980 pop · 1 retail · 1.00 density
San Saba County 5,779 pop · 1 retail · 1.73 density
Shackelford County 3,134 pop · 1 retail · 3.19 density
Sterling County 1,392 pop · 1 retail · 7.18 density
Terry CountyPharmacy Desert 11,816 pop · 1 retail · 0.85 density
Throckmorton County 1,439 pop · 1 retail · 6.95 density
Yoakum CountyPharmacy Desert 7,630 pop · 0 retail · 0.00 density
Zavala County 9,700 pop · 1 retail · 1.03 density
Blanco CountyPharmacy Desert 11,608 pop · 0 retail · 0.00 density
Borden CountyPharmacy Desert 686 pop · 0 retail · 0.00 density
Callahan CountyPharmacy Desert 13,869 pop · 0 retail · 0.00 density
Carson CountyPharmacy Desert 5,801 pop · 0 retail · 0.00 density
Coke CountyPharmacy Desert 3,305 pop · 0 retail · 0.00 density
Collingsworth CountyPharmacy Desert 2,865 pop · 0 retail · 0.00 density
Concho CountyPharmacy Desert 3,235 pop · 0 retail · 0.00 density
Cottle CountyPharmacy Desert 1,647 pop · 0 retail · 0.00 density
Delta CountyPharmacy Desert 5,278 pop · 0 retail · 0.00 density
Dickens CountyPharmacy Desert 1,570 pop · 0 retail · 0.00 density
Edwards CountyPharmacy Desert 1,380 pop · 0 retail · 0.00 density
Fisher CountyPharmacy Desert 3,680 pop · 0 retail · 0.00 density
Glasscock CountyPharmacy Desert 1,068 pop · 0 retail · 0.00 density
Hardeman CountyPharmacy Desert 3,541 pop · 0 retail · 0.00 density
Hartley CountyPharmacy Desert 5,369 pop · 0 retail · 0.00 density
Hudspeth CountyPharmacy Desert 3,329 pop · 0 retail · 0.00 density
Irion CountyPharmacy Desert 1,561 pop · 0 retail · 0.00 density
Jeff Davis CountyPharmacy Desert 1,992 pop · 0 retail · 0.00 density
Kenedy CountyPharmacy Desert 116 pop · 0 retail · 0.00 density
Kent CountyPharmacy Desert 635 pop · 0 retail · 0.00 density
King CountyPharmacy Desert 216 pop · 0 retail · 0.00 density
Knox CountyPharmacy Desert 3,333 pop · 0 retail · 0.00 density
La Salle CountyPharmacy Desert 6,965 pop · 0 retail · 0.00 density
Lipscomb CountyPharmacy Desert 3,038 pop · 0 retail · 0.00 density
Loving CountyPharmacy Desert 96 pop · 0 retail · 0.00 density
Lynn CountyPharmacy Desert 5,619 pop · 0 retail · 0.00 density
Martin CountyPharmacy Desert 5,228 pop · 0 retail · 0.00 density
McMullen CountyPharmacy Desert 670 pop · 0 retail · 0.00 density
Oldham CountyPharmacy Desert 2,171 pop · 0 retail · 0.00 density
Presidio CountyPharmacy Desert 6,168 pop · 0 retail · 0.00 density
Real CountyPharmacy Desert 2,830 pop · 0 retail · 0.00 density
Refugio CountyPharmacy Desert 6,718 pop · 0 retail · 0.00 density
Roberts CountyPharmacy Desert 764 pop · 0 retail · 0.00 density
Schleicher CountyPharmacy Desert 2,474 pop · 0 retail · 0.00 density
Sherman CountyPharmacy Desert 2,414 pop · 0 retail · 0.00 density
Stonewall CountyPharmacy Desert 1,331 pop · 0 retail · 0.00 density
Swisher CountyPharmacy Desert 6,989 pop · 0 retail · 0.00 density
Terrell CountyPharmacy Desert 862 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.