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Community Pharmacy Impact Census 2023

Thank you for participating in the annual Community Pharmacy Impact Census conducted by the National Community Pharmacists Association.  This survey is intended to be filled out by the pharmacy owner or a designated representative of the owner.  Your responses help us communicate community pharmacy’s story to legislators, regulators, the media, and patients.  Data from the pharmacy profiles also helps NCPA bring new opportunities to community pharmacies.

There are no financial questions that should require referencing of other documents for answers, and you can take the census on your mobile phone, tablet, or desktop computer in about 10 minutes.  Multiple-store owners can complete the survey for one store and then complete the survey for each additional store by clicking "Take the survey for another store" at the end of the survey.

Note: Individual pharmacy data is treated as confidential and will not be published or shared with a third party.  If you have any questions, please email them to  lschwartz@ncpa.org.
1. Pharmacy information:
This question requires a valid email address.
This question requires a valid number format.
This question requires a valid number format.
2. Select “Yes” to receive text messages containing informative updates or marketing messages, or both, from NCPA. Standard message and data rates apply. Reply HELP for help, STOP to cancel after 1st text message.
 
3. What is gender of the primary owner(s)?
Space Cell MaleFemaleNon-binaryPrefer not to answer
Primary Owner 1
Primary Owner 2
4. What year was the primary owner(s) born? (Please use XXXX format.)
This question requires a valid number format.
This question requires a valid number format.
5. What is the race/ethnicity of the primary owner(s)?
Space Cell American Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or other Pacific IslanderWhiteOther
Primary Owner 1
Primary Owner 2
6. What is the primary type of your pharmacy?
7. Where is your pharmacy located?
8. Who is your primary wholesaler?
9. Does your pharmacy belong to a buying group?
Who is your primary buying group?
 
10. Is this pharmacy in a PSAO?
On a scale of 1 to 10 with 10 being very satisfied and 1 being very dissatisfied, how would you rate the impact of your PSAO on your pharmacy?
 
Space Cell 1= Very dissatisfied2345678910=Very satisfied
PSAO Satisfaction rating:
11. Do you have an ownership interest in any local businesses besides pharmacy?
List up to five other TYPES of local businesses you have ownership in other than pharmacy?
12. Please indicate the services your pharmacy currently provides. Check all that apply.
13. Does this pharmacy offer medication synchronization (med sync) services to your patients?
 
This question requires a valid number format.
This question requires a valid number format.
What elements of med sync do your services include? Check all that apply.
Is your service performed manually or do you use a med sync technology?
Please indicate the immunizations your pharmacy currently provides. Check all that apply.
14. What technology resources have you incorporated into your pharmacy? Check all that apply.
15. What front-end categories do you have in your pharmacy? Check all that apply.
This question requires a valid number format.
17. Does your pharmacy serve long-term care (LTC) (e.g., skilled nursing facility, assisted living facility, residential group homes, prisons, hospice, medical at home)?
Which best describes the type of LTC pharmacy operations?
Approximately how many beds/patients do you serve in each of the following locations? (please enter a whole number, if zero do not enter anything).
18.

Does this pharmacy participate in any specialty pharmacy contracts?
Which therapeutic areas are included in specialty pharmacy contracts? Check all that apply.
 
19. Is your pharmacy a 340B contract pharmacy provider?
20. Does your pharmacy have any collaborative practice agreements with physicians?
Do your collaborative practice agreements include:
 
Space Cell YesNo
Immunization *This question is required
Refill authorization *This question is required
Modification of drug therapy by protocol *This question is required
Initiation of drug therapy *This question is required
21. Does your pharmacy have a CLIA-waived laboratory?
What point-of-care testing does your pharmacy provide? Check all that apply.
 
22. Is the pharmacy enrolled as any of the following in Medicare Part B? (Check all that apply)
23. Does the pharmacy employ or contract any of the following: Check all that apply.
24. Does the pharmacy employ a pharmacist who spends more than 50% of their time as a clinical coordinator?
25. Does your pharmacy offer post-graduate training?
26. Is this pharmacy a rotation site for pharmacy students?
27. What digital marketing tools do you utilize? Check all that apply.
28. Are any OWNERS or Other Staff of your pharmacy a member of a local business or civic organization? Check all that apply.
29. Do any of the pharmacy OWNERS OR OTHER STAFF hold a local or state elective office? 
30. Are any of the pharmacy OWNERS OR STAFF appointed officials (boards, committees), board of pharmacy?
31. Please rate on a scale of 1-5 the strength of the relationship any owners or other staff of your pharmacy have with elected officials or their key senior staff members.
Space Cell 1= Casual acquaintance2345= lifelong friendNA
Mayor
School board member
Councilman
County Board Supervisor
Governor
State Representative
State Senator
County Commissioner
U.S. Congressman
U.S. Senator
33. Are you willing to use your relationships or affiliations to promote independent community pharmacy?
34. What number of community organizations or events does your pharmacy provide monetary support to yearly (e.g., Youth sports, schools, churches, synagogue, senior centers, fairs, festivals)?
This question requires a valid number format.
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