State Market Insights
By Category
All Pharmacies
1,549
Retail
1,195
Specialty
81
Hospital
60
LTC
135
MailOrder
18
Wholesale
24
Remote
36
Market Scale
Population
8,624,511
Density (all) /10k
1.80
Density (retail) /10k
1.39
Pharmacy Desert Counties
39
Avg. VigilScale™
55/100
Avg. Enrollment Age
14 yrs
Chain Mix
Solo (1)
303
Small Group (2–9)
170
Mid Chain (10–49)
69
Large Chain (50+)
179
Mega Chain
832
Special Designations
Independent
303
Sterile Compounding
32
Tele-Pharmacy
36
Government Owned
33
Non-Profit
51
Top Chains
CVS
18%
WALGREENS
16%
WALMART
9%
Virginia Pharmacy Landscape
🔒 Browse New Pharmacy Openings in Virginia
Search recently enrolled pharmacies and filter by category
Virginia Board of Pharmacy
State Regulator
Visit official state pharmacy board website
VA PMP
Official Program Information
Prescription Drug Monitoring Program requirements and information
VA PMP
Clinical Login
Look up patient prescription history before dispensing controlled substances
VA PMP
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 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 + certification 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.
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: Immediately (Incoming PIC within 14 days).
Prescription Monitoring Reporting
Prescription Monitoring Program (PMP) reporting requirements: Within 24 hours.
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: VA has a robust 'Inspection' program for all new pharmacy openings..
Top Cities by Pharmacy Count
Largest pharmacy markets in Virginia
RICHMOND
106 pharmacies
VIRGINIA BEACH
84 pharmacies
CHESAPEAKE
48 pharmacies
ALEXANDRIA
46 pharmacies
NORFOLK
44 pharmacies
ROANOKE
43 pharmacies
FAIRFAX
38 pharmacies
FREDERICKSBURG
35 pharmacies
NEWPORT NEWS
33 pharmacies
CHARLOTTESVILLE
32 pharmacies
ARLINGTON
31 pharmacies
HAMPTON
28 pharmacies
WILLIAMSBURG
25 pharmacies
MIDLOTHIAN
25 pharmacies
WINCHESTER
24 pharmacies
WOODBRIDGE
23 pharmacies
Browse by County
All counties sorted by pharmacy count
Fairfax CountyPharmacy Desert
1,145,354 pop · 104 retail · 0.91 density
Henrico County
333,120 pop · 65 retail · 1.95 density
Virginia Beach city
457,900 pop · 67 retail · 1.46 density
Chesterfield County
366,019 pop · 55 retail · 1.50 density
Loudoun County
420,773 pop · 47 retail · 1.12 density
Prince William CountyPharmacy Desert
481,114 pop · 41 retail · 0.85 density
Chesapeake city
249,377 pop · 39 retail · 1.56 density
Norfolk city
236,973 pop · 35 retail · 1.48 density
Richmond city
227,171 pop · 27 retail · 1.19 density
Arlington County
235,845 pop · 29 retail · 1.23 density
Newport News city
185,118 pop · 24 retail · 1.30 density
Hampton city
137,217 pop · 19 retail · 1.38 density
Roanoke city
99,213 pop · 21 retail · 2.12 density
James City County
78,818 pop · 17 retail · 2.16 density
Alexandria city
157,594 pop · 19 retail · 1.21 density
Washington County
53,985 pop · 19 retail · 3.52 density
Hanover County
110,513 pop · 18 retail · 1.63 density
Lynchburg city
79,166 pop · 16 retail · 2.02 density
Suffolk city
94,856 pop · 15 retail · 1.58 density
Albemarle County
112,513 pop · 15 retail · 1.33 density
Montgomery County
99,373 pop · 16 retail · 1.61 density
Danville city
42,507 pop · 12 retail · 2.82 density
Portsmouth city
97,384 pop · 15 retail · 1.54 density
Roanoke County
96,653 pop · 13 retail · 1.35 density
Spotsylvania County
141,097 pop · 16 retail · 1.13 density
Harrisonburg city
51,784 pop · 13 retail · 2.51 density
Stafford CountyPharmacy Desert
157,606 pop · 15 retail · 0.95 density
Tazewell County
40,392 pop · 11 retail · 2.72 density
Winchester city
28,103 pop · 12 retail · 4.27 density
Wise County
36,105 pop · 13 retail · 3.60 density
Bedford County
79,761 pop · 12 retail · 1.50 density
Charlottesville city
46,289 pop · 12 retail · 2.59 density
Salem city
25,372 pop · 11 retail · 4.34 density
Smyth County
29,799 pop · 10 retail · 3.36 density
Colonial Heights city
18,158 pop · 8 retail · 4.41 density
Fairfax city
24,242 pop · 7 retail · 2.89 density
Frederick CountyPharmacy Desert
92,007 pop · 9 retail · 0.98 density
Petersburg city
33,261 pop · 6 retail · 1.80 density
Fredericksburg city
28,258 pop · 6 retail · 2.12 density
Manassas city
42,620 pop · 9 retail · 2.11 density
Martinsville city
13,539 pop · 8 retail · 5.91 density
Bristol city
17,036 pop · 8 retail · 4.70 density
Culpeper County
52,822 pop · 7 retail · 1.33 density
Franklin County
54,838 pop · 9 retail · 1.64 density
Mecklenburg County
30,367 pop · 8 retail · 2.63 density
Staunton city
25,581 pop · 8 retail · 3.13 density
Waynesboro city
22,341 pop · 7 retail · 3.13 density
York County
70,238 pop · 7 retail · 1.00 density
Augusta CountyPharmacy Desert
77,433 pop · 7 retail · 0.90 density
Fauquier CountyPharmacy Desert
73,290 pop · 7 retail · 0.96 density
Halifax County
34,013 pop · 5 retail · 1.47 density
Amherst County
31,426 pop · 4 retail · 1.27 density
Orange County
36,593 pop · 6 retail · 1.64 density
Pulaski County
33,841 pop · 5 retail · 1.48 density
Rockingham CountyPharmacy Desert
83,905 pop · 5 retail · 0.60 density
Shenandoah County
44,337 pop · 5 retail · 1.13 density
Accomack County
33,367 pop · 5 retail · 1.50 density
Buckingham County
16,869 pop · 5 retail · 2.96 density
Campbell County
55,518 pop · 6 retail · 1.08 density
Gloucester County
38,875 pop · 4 retail · 1.03 density
Hopewell city
23,046 pop · 6 retail · 2.60 density
Isle of Wight County
38,898 pop · 6 retail · 1.54 density
Prince Edward County
21,922 pop · 4 retail · 1.82 density
Radford city
16,379 pop · 6 retail · 3.66 density
Warren CountyPharmacy Desert
40,800 pop · 4 retail · 0.98 density
Wythe County
28,275 pop · 5 retail · 1.77 density
Appomattox County
16,253 pop · 5 retail · 3.08 density
Falls Church city
14,576 pop · 3 retail · 2.06 density
Galax city
6,687 pop · 4 retail · 5.98 density
Giles County
16,711 pop · 5 retail · 2.99 density
Norton city
3,668 pop · 4 retail · 10.91 density
Buchanan County
20,246 pop · 4 retail · 1.98 density
Dickenson County
14,089 pop · 4 retail · 2.84 density
Emporia city
5,680 pop · 3 retail · 5.28 density
Franklin city
8,194 pop · 2 retail · 2.44 density
Lancaster County
10,866 pop · 3 retail · 2.76 density
Lee County
22,287 pop · 4 retail · 1.79 density
Louisa County
38,106 pop · 4 retail · 1.05 density
New Kent County
23,296 pop · 3 retail · 1.29 density
Russell County
25,763 pop · 4 retail · 1.55 density
Caroline CountyPharmacy Desert
31,181 pop · 2 retail · 0.64 density
Covington city
5,722 pop · 2 retail · 3.50 density
Grayson County
15,356 pop · 3 retail · 1.95 density
Greene County
20,631 pop · 3 retail · 1.45 density
Henry CountyPharmacy Desert
50,760 pop · 3 retail · 0.59 density
King William County
17,845 pop · 2 retail · 1.12 density
Lexington city
7,346 pop · 3 retail · 4.08 density
Nelson County
14,773 pop · 3 retail · 2.03 density
Northampton County
12,132 pop · 3 retail · 2.47 density
Page County
23,753 pop · 3 retail · 1.26 density
Patrick County
17,660 pop · 2 retail · 1.13 density
Pittsylvania CountyPharmacy Desert
60,541 pop · 2 retail · 0.33 density
Powhatan CountyPharmacy Desert
30,503 pop · 3 retail · 0.98 density
Prince George CountyPharmacy Desert
42,634 pop · 0 retail · 0.00 density
Scott CountyPharmacy Desert
21,536 pop · 2 retail · 0.93 density
Westmoreland County
18,480 pop · 2 retail · 1.08 density
Alleghany County
15,159 pop · 2 retail · 1.32 density
Amelia CountyPharmacy Desert
13,309 pop · 1 retail · 0.75 density
Botetourt CountyPharmacy Desert
33,734 pop · 2 retail · 0.59 density
Brunswick County
15,965 pop · 2 retail · 1.25 density
Carroll CountyPharmacy Desert
29,126 pop · 2 retail · 0.69 density
Charlotte County
11,563 pop · 2 retail · 1.73 density
Essex County
10,602 pop · 2 retail · 1.89 density
Floyd CountyPharmacy Desert
15,532 pop · 1 retail · 0.64 density
King George CountyPharmacy Desert
26,985 pop · 2 retail · 0.74 density
Poquoson city
12,479 pop · 2 retail · 1.60 density
Sussex County
10,866 pop · 2 retail · 1.84 density
Bath County
4,177 pop · 1 retail · 2.39 density
Bland County
6,241 pop · 1 retail · 1.60 density
Buena Vista city
6,639 pop · 1 retail · 1.51 density
Charles City CountyPharmacy Desert
6,760 pop · 0 retail · 0.00 density
Clarke CountyPharmacy Desert
14,882 pop · 0 retail · 0.00 density
Cumberland County
9,697 pop · 1 retail · 1.03 density
Fluvanna CountyPharmacy Desert
27,442 pop · 1 retail · 0.36 density
Goochland CountyPharmacy Desert
24,906 pop · 1 retail · 0.40 density
Highland County
2,247 pop · 1 retail · 4.45 density
Lunenburg CountyPharmacy Desert
11,988 pop · 1 retail · 0.83 density
Mathews County
8,537 pop · 1 retail · 1.17 density
Northumberland CountyPharmacy Desert
12,007 pop · 1 retail · 0.83 density
Nottoway CountyPharmacy Desert
15,638 pop · 1 retail · 0.64 density
Richmond County
8,968 pop · 1 retail · 1.12 density
Rockbridge CountyPharmacy Desert
22,673 pop · 0 retail · 0.00 density
Craig CountyPharmacy Desert
4,898 pop · 0 retail · 0.00 density
Dinwiddie CountyPharmacy Desert
28,057 pop · 0 retail · 0.00 density
Greensville CountyPharmacy Desert
11,373 pop · 0 retail · 0.00 density
King and Queen CountyPharmacy Desert
6,681 pop · 0 retail · 0.00 density
Madison CountyPharmacy Desert
13,828 pop · 0 retail · 0.00 density
Manassas Park cityPharmacy Desert
17,123 pop · 0 retail · 0.00 density
Middlesex CountyPharmacy Desert
10,738 pop · 0 retail · 0.00 density
Rappahannock CountyPharmacy Desert
7,422 pop · 0 retail · 0.00 density
Southampton CountyPharmacy Desert
18,003 pop · 0 retail · 0.00 density
Surry CountyPharmacy Desert
6,546 pop · 0 retail · 0.00 density
Williamsburg cityPharmacy Desert
15,486 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.