Virginia Board of Pharmacy
Applications & Forms
Address of record
Section 54.1-2400.02.B of the Code of Virginia requires the Department of Health Professions (DHP) to collect an official address of record from each health professional to be used by DHP for agency purposes. The Code also requires DHP to provide an opportunity for a health professional to provide a second address for the purpose of public dissemination. If there is no second (public) address provided, the official address of record will be used as the public address for the purpose of public dissemination. This is applicable to all pharmacists, pharmacy interns, and pharmacy technicians. If the individual would prefer that his/her address of record remain confidential, then an alternative public address must be provided to DHP. (Note: the License Lookup feature on the DHP public website does not contain the full address. However, public addresses are available by contacting Virginia Interactive Premium Service or the Board.) An individual is not required to submit a place of residence for either the official address of record or the public address. A post office box or a practice location is acceptable. This is not true for facilities licensed by the Board of Pharmacy. The address of record for facilities must be the actual physical location of the facility.
Changes to either address may be made at the time of renewal or at any time by written notification to the Board. Changes to the address of record may also be made at any time by accessing your licensure information through the online system. Any change that is made to one of the addresses does not automatically update the other address. Address information should be kept current for the address of record and the public address (if different from the address of record) at all times.
Facilities licensed by the Board may only make changes to their address by filing an application with the Board prior to any change, and such change typically requires an inspection and approval of the new location.
The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print documents.
Guidance Document 110-2: Information for Applicants for a License as a Pharmacist - September 2009
Applicants for Pharmacist License by Examination, to include graduates of foreign schools of pharmacy are now accepted online. Click here to begin the online application process.
Guidance Document 110-17: Instructions for graduates of foreign schools of pharmacy - revised March 2010
Applications for Registration as a Pharmacy Interns are now accepted online. Click here to begin the online application process.
Applications for Pharmacy Technician Registration are now exclusively accepted online. Click here to begin the online application process.
Non-Resident Pharmacy Registration Application - NOTE: Refer to Guidance Document 110-38 Requirement for Non-resident Pharmacies to Submit Current Inspection Report, revised June 18, 2013