Community Pharmacy Impact Census 2024

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Note: Individual pharmacy data is treated as confidential and will not be published or shared with a third party.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:

First Name (person completing survey) *This question is required.

Last Name (person completing survey) *This question is required.

Pharmacy Name *This question is required.

Email Address *This question is required. This question requires a valid email address.

NCPDP Number *This question is required. This question requires a valid number format.

Pharmacy Zip Code *This question is required. This question requires a valid number format.

2. What is gender of the primary owner(s)?

Space Cell	Man	Woman	Non-binary	Prefer not to answer
Primary Owner 1	Primary Owner 1: Man	Primary Owner 1: Woman	Primary Owner 1: Non-binary	Primary Owner 1: Prefer not to answer
Primary Owner 2	Primary Owner 2: Man	Primary Owner 2: Woman	Primary Owner 2: Non-binary	Primary Owner 2: Prefer not to answer

3. Is any person with ownership interest in this pharmacy a pharmacy technician?

4. What year was the primary owner(s) born? (Please use XXXX format.)

Primary Owner 1 This question requires a valid number format.

Primary Owner 2 This question requires a valid number format.

5. What is the race/ethnicity of the primary owner(s)?

Space Cell	American Indian or Alaska Native	Asian	Black or African American	Hispanic or Latino	Native Hawaiian or other Pacific Islander	White	Other
Primary Owner 1	Primary Owner 1: American Indian or Alaska Native	Primary Owner 1: Asian	Primary Owner 1: Black or African American	Primary Owner 1: Hispanic or Latino	Primary Owner 1: Native Hawaiian or other Pacific Islander	Primary Owner 1: White	Primary Owner 1: Other
Primary Owner 2	Primary Owner 2: American Indian or Alaska Native	Primary Owner 2: Asian	Primary Owner 2: Black or African American	Primary Owner 2: Hispanic or Latino	Primary Owner 2: Native Hawaiian or other Pacific Islander	Primary Owner 2: White	Primary Owner 2: Other