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Collects applicant identity, official and public address details, contact information, education history by pharmacy school, student registration status, office-use application data, prior licensure by jurisdiction, NAPLEX attempt information, and multiple licensing/background disclosure questions with Yes/No responses and supporting documentation requirements.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/exam/","Exam",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/application-for-licensure-as-a-pharmacist-by-examination/294345/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/application-for-licensure-as-a-pharmacist-by-examination/294345.png","ImageObject",300,407,{"name":42,"@type":43},"Sage","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-26","2026-09-17",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",13,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What are the submission requirements and fee for this pharmacist licensure application?","Question",{"text":63,"@type":64},"Submit the completed application with a check or money order for $235.00 payable to the Treasurer of Virginia. The application fee is not refundable and the application is mailed to the address shown at the top of the form.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How does the applicant indicate whether Virginia is the primary state of licensure or whether they plan a score transfer?",{"text":68,"@type":64},"The form instructs the applicant to check one option: Virginia will be the primary state of licensure, or the applicant plans to or has already completed a score transfer from another state.",{"name":70,"@type":61,"acceptedAnswer":71},"What information must be provided under pharmacy education, additional licensure, and NAPLEX sections?",{"text":72,"@type":64},"List all pharmacy schools attended with degree awarded and enrollment/graduation dates. Provide all other states or jurisdictions where a pharmacist license has been held, including license number and expiration date. For NAPLEX, indicate whether attempts were made and list dates taken, state where taken, and score.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},294345,1789682856,{"code":4,"msg":82,"data":83},"success",[84,88,92,95,100,105,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":93,"slug":94},70,"exam",{"id":96,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},5,"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":96,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":33,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":33,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":80,"read_time":124},687197207057,"https://ap-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","| | 9960 Mayland Drive, Suite 300 Henrico, Virginia 23233\u003Cbr>(804) 367-4456 (Tel)\u003Cbr>(804) 527-4472 (Fax)\u003Cbr>[pharmbd@dhp.virginia.gov](pharmbd@dhp.virginia.gov)[ ](pharmbd@dhp.virginia.gov)[www.dhp.virginia.gov/pharmacy](www.dhp.virginia.gov/pharmacy) |\n| --- | --- |\n\nAPPLICATION FOR LICENSURE AS A  \nPHARMACIST  \nBy Examination  \nPlease submit with a check or money order in the amount of $235.00 made payable to the Treasurer of Virginia. The application fee is not refundable. Mail to the above address.  \nPlease check [1] one of the following:  \nVirginia will be my primary state of licensure   \nI plan to or have already completed a score transfer from another state   \n\n| PLEASE PRINT-USE BLACK INK |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| I. GENERAL INFORMATION |  |  |  |  |  |  |  |  |\n| Name: Last | First |  |  |  |  | Middle/Maiden |  |  |\n| Street Address (official address of record**) | City |  |  | State | Zip Code |  |  | Telephone Number |\n| Street Address (public address**) | City |  |  | State | Zip Code |  |  | Telephone Number |\n| Email address |  | NABP E-Profile ID number |  |  |  |  |  |  |\n| Date ofBirth | Social Security Number or Virginia DMV Control Number * |  |  |  |  |  |  |  |\n| II. PHARMACY EDUCATION INFORMATION – LIST ALL PHARMACY SCHOOLS ATTENDED |  |  |  |  |  |  |  |  |\n| College of Pharmacy Name, City, State, Country (if applicable) |  |  | Pharmacy Degree Awarded |  |  |  |  |  |\n|  |  |  | Date of Enrollment |  |  |  | Date of Graduation |  |\n| College of Pharmacy Name, City, State, Country (if applicable) |  |  | Pharmacy Degree Awarded |  |  |  |  |  |\n|  |  |  | Date of Enrollment |  |  |  | Date of Graduation |  |\n| Student Registration: I have or have held registration with the Virginia Board of Pharmacy as a pharmacy intern. |  | Yes Registration No. 0203   No |  |  |  |  |  |  |\n\n* In accordance with § 54.1-2400.02 of the Code of Virginia, an applicant must provide an official address of record. An applicant may choose to provide a second address for public dissemination, which may be a work address, a post office box, or a home address. If an applicant does not provide a second address, his official address of record shall also be used as the public address for the purpose of public dissemination.  \n\n| \u003Cbr>FOR OFFICE USE ONLY |  |  |  |  |\n| --- | --- | --- | --- | --- |\n| Application Number | Receipt Number | License Number\u003Cbr>0202 | Date Issued |  |\n\n\n| III. ADDITIONAL LICENSURE: List all states or other jurisdictions in which you now hold or have ever held a license as a pharmacist (use extra paper if necessary) |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- |\n| STATE | LICENSE NUMBER |  | EXPIRATION DATE |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| IV. PRIOR EXPERIENCE WITH NAPLEX: |  |  |  |  |  |  |\n| Have you ever taken the NAPLEX examination? |  | Yes  (list all attempts below—use extra paper if necessary) No  |  |  |  |  |\n| DATE TAKEN | STATE WHERE TAKEN |  |  | SCORE |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |\n| APPLICATION QUESTIONS – NOTE: Attach additional pages if needed as well as any related documents requested. If your response to any of the questions below require you to submit additional documentation, please provide a personal statement explaining the circumstances regarding each response to assist the Board with processing your application. |  |  |  |  |  |  |\n|  |  |  |  |  | YES | NO |\n| 1. Have you ever been denied the privilege of taking a pharmacy licensing examination? If yes, state which examination, where, and explain the reason: |  |  |  |  | \u003Cbr>|  |\n| 2. Have you ever had disciplinary action against your pharmacist license in any other jurisdiction? If yes, what jurisdiction and date, explain, and attach a copy of the board official documents such as notices and orders. |  |  |  |  | \u003Cbr>|  |\n| 3. Have you ev","cbCaidN2zmNaTBj5","https://ap.wps.com/l/cbCaidN2zmNaTBj5","pdf",209468,"English","# Application Instructions\n# General Information\n## Applicant Details\n# Pharmacy Education Information\n## Pharmacy Schools and Degrees\n# Additional Licensure and NAPLEX Experience\n## Prior Licensure by Jurisdiction\n## Prior Experience with NAPLEX\n# Application Questions\n## Licensing Examination and Disciplinary Disclosures","[{\"question\":\"What are the submission requirements and fee for this pharmacist licensure application?\",\"answer\":\"Submit the completed application with a check or money order for $235.00 payable to the Treasurer of Virginia. The application fee is not refundable and the application is mailed to the address shown at the top of the form.\"},{\"question\":\"How does the applicant indicate whether Virginia is the primary state of licensure or whether they plan a score transfer?\",\"answer\":\"The form instructs the applicant to check one option: Virginia will be the primary state of licensure, or the applicant plans to or has already completed a score transfer from another state.\"},{\"question\":\"What information must be provided under pharmacy education, additional licensure, and NAPLEX sections?\",\"answer\":\"List all pharmacy schools attended with degree awarded and enrollment/graduation dates. Provide all other states or jurisdictions where a pharmacist license has been held, including license number and expiration date. For NAPLEX, indicate whether attempts were made and list dates taken, state where taken, and score.\"}]","Application for Licensure as a Pharmacist - By Examination | PDF"]