State Market Insights
By Category
All Pharmacies
495
Retail
396
Specialty
23
Hospital
17
LTC
39
MailOrder
12
Remote
8
Market Scale
Population
1,792,967
Density (all) /10k
2.76
Density (retail) /10k
2.21
Pharmacy Desert Counties
6
Avg. VigilScale™
53/100
Avg. Enrollment Age
13 yrs
Chain Mix
Solo (1)
116
Small Group (2–9)
87
Mid Chain (10–49)
20
Large Chain (50+)
41
Mega Chain
231
Special Designations
Independent
116
Sterile Compounding
19
Tele-Pharmacy
8
Government Owned
15
Non-Profit
12
Top Chains
WALGREENS
24%
CVS
11%
WALMART
8%
West Virginia Pharmacy Landscape
🔒 Browse New Pharmacy Openings in West Virginia
Search recently enrolled pharmacies and filter by category
WV Board of Pharmacy
State Regulator
Visit official state pharmacy board website
CSAPP
Official Program Information
Prescription Drug Monitoring Program requirements and information
CSAPP
Clinical Login
Look up patient prescription history before dispensing controlled substances
CSAPP
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 30 hrs biennially (6 live, 3 opioid) 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: Limited.
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: WV has high CE requirements for controlled substance diversion..
Top Cities by Pharmacy Count
Largest pharmacy markets in West Virginia
Browse by County
All counties sorted by pharmacy count
Kanawha County
179,895 pop · 52 retail · 2.89 density
Cabell County
93,965 pop · 29 retail · 3.09 density
Raleigh County
74,303 pop · 21 retail · 2.83 density
Monongalia County
105,988 pop · 21 retail · 1.98 density
Wood County
84,272 pop · 20 retail · 2.37 density
Harrison County
65,862 pop · 15 retail · 2.28 density
Putnam County
57,347 pop · 15 retail · 2.62 density
Berkeley County
123,283 pop · 14 retail · 1.14 density
Mercer County
59,530 pop · 12 retail · 2.02 density
Marion County
56,194 pop · 9 retail · 1.60 density
Greenbrier County
32,995 pop · 10 retail · 3.03 density
Fayette County
40,545 pop · 12 retail · 2.96 density
Logan County
32,350 pop · 12 retail · 3.71 density
Ohio County
42,224 pop · 10 retail · 2.37 density
Boone County
21,705 pop · 8 retail · 3.69 density
Hancock County
28,907 pop · 5 retail · 1.73 density
Jefferson County
58,043 pop · 8 retail · 1.38 density
McDowell County
18,911 pop · 7 retail · 3.70 density
Nicholas County
24,624 pop · 6 retail · 2.44 density
Randolph County
28,005 pop · 8 retail · 2.86 density
Wayne County
38,933 pop · 6 retail · 1.54 density
Marshall County
30,509 pop · 5 retail · 1.64 density
Mingo County
23,466 pop · 7 retail · 2.98 density
Brooke County
22,349 pop · 4 retail · 1.79 density
Lincoln County
20,410 pop · 5 retail · 2.45 density
Upshur County
23,875 pop · 5 retail · 2.09 density
Wyoming County
21,237 pop · 5 retail · 2.35 density
Hampshire County
23,275 pop · 3 retail · 1.29 density
Jackson County
27,868 pop · 5 retail · 1.79 density
Webster County
8,362 pop · 4 retail · 4.78 density
Wetzel County
14,431 pop · 3 retail · 2.08 density
Braxton County
12,505 pop · 4 retail · 3.20 density
Hardy County
14,249 pop · 4 retail · 2.81 density
Lewis County
16,920 pop · 4 retail · 2.36 density
Mason County
25,488 pop · 3 retail · 1.18 density
Mineral County
26,957 pop · 4 retail · 1.48 density
Pocahontas County
7,940 pop · 4 retail · 5.04 density
Summers County
11,985 pop · 3 retail · 2.50 density
Taylor County
16,602 pop · 4 retail · 2.41 density
Barbour CountyPharmacy Desert
15,527 pop · 1 retail · 0.64 density
Gilmer County
7,444 pop · 1 retail · 1.34 density
Grant CountyPharmacy Desert
11,034 pop · 1 retail · 0.91 density
Roane County
14,027 pop · 3 retail · 2.14 density
Pleasants County
7,622 pop · 2 retail · 2.62 density
Preston CountyPharmacy Desert
34,206 pop · 2 retail · 0.58 density
Tucker County
6,747 pop · 2 retail · 2.96 density
Wirt County
5,202 pop · 2 retail · 3.84 density
Calhoun County
6,279 pop · 1 retail · 1.59 density
Clay County
8,049 pop · 1 retail · 1.24 density
Doddridge County
7,847 pop · 1 retail · 1.27 density
Morgan CountyPharmacy Desert
17,237 pop · 1 retail · 0.58 density
Pendleton County
6,156 pop · 1 retail · 1.62 density
Ritchie County
8,507 pop · 1 retail · 1.18 density
Monroe CountyPharmacy Desert
12,438 pop · 0 retail · 0.00 density
Tyler CountyPharmacy Desert
8,336 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.