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The form specifies payment calculations for inactive years (up to 10), a one-time late fee, and continuing education requirements including immunization-related CE when applicable. It also outlines potential board actions such as completing the South Dakota MPJE exam, providing license copies, completing a background check, and furnishing work history. A declaration section records CE details and answers disciplinary and eligibility questions, finalized with a notary affidavit.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/application-for-reinstatement-as-a-pharmacist-in-south-dakota/294448/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/application-for-reinstatement-as-a-pharmacist-in-south-dakota/294448.png","ImageObject",300,407,{"name":92,"@type":93},"Finn","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-07","2026-09-17",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What fees apply when reinstating an inactive South Dakota pharmacist license?","Question",{"text":113,"@type":114},"The application requires payment of $125 for each year the SD license was inactive, capped at a maximum of 10 years, plus a one-time late fee of $50. Payment is calculated starting from the expiration date of the last SD license.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How many continuing education hours are required for reinstatement?",{"text":118,"@type":114},"A pharmacist must complete 12 hours of continuing education within the last 24 months. If the applicant has a certificate to administer immunizations, one of the required 12 hours must be related to immunizations.",{"name":120,"@type":111,"acceptedAnswer":121},"What disciplinary and eligibility questions must be answered?",{"text":122,"@type":114},"Applicants must answer Yes or No for nine items covering convictions or pleas since the last renewal, pending criminal prosecution, prior license discipline, current investigations, impairing alcohol or substance use, impairing physical/mental/emotional conditions, child support arrearages of $1,000 or more, professional conduct rules compliance, and awareness of the Health Professionals Assistance Program.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},294448,1789687160,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":14,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":24},34359740700684,"https://ap-avatar.wpscdn.com/avatar/1f400023980c374ae676?_k=1777273430885731487","State of South Dakota Board of Pharmacy  \n4001 W. Valhalla Blvd. , Suite 106 Sioux Falls, SD 57106 P – 605.362.2737 F - 605.362.2738 E – [pharmacyboard@state.sd. us](pharmacyboard@state.sd. us)  \nApplication for Reinstatement as a Pharmacist in South Dakota  \nName:          \nLast First Middle Maiden  \nMailing Address:   City   State   Zip Code:   Phone Number ( )   Email:    \nDate of Birth:   South Dakota Pharmacist License Number   Social Security Number:   Last Year Licensed in South Dakota   Other states where you are you licensed as a pharmacist (please include certificate number)    \nSubmit Items 1-3 With Application  \n\n| 1. Payment of $125 for each year your SD license was inactive (to maximum of 10 years) . Check payable to the SD Board of Pharmacy. Calculate payment starting from the expiration date of your last SD license. |  |  |  |\n| --- | --- | --- | --- |\n| Expired 9/30/20 19\u003Cbr>9/30/2020\u003Cbr>9/30/2021\u003Cbr>9/30/2022 | $125\u003Cbr>$125\u003Cbr>$125\u003Cbr>$125 | 9/30/2023\u003Cbr>9/30/2024\u003Cbr>9/30/2025\u003Cbr>9/30/2026 | $125\u003Cbr>$125\u003Cbr>$125\u003Cbr>$125 |\n|  One-time late fee of $50.00. Check payable to the SD Board of Pharmacy.\u003Cbr> 12 hours of CE completed within the last 24 months.\u003Cbr>After application submission and review, the board may require you:\u003Cbr>• Complete the South Dakota MPJE exam\u003Cbr>• Provide copies of your current registered pharmacist licenses\u003Cbr>• Complete a background check\u003Cbr>• Provide work history |  |  |  |\n\nFOR SD BOP USE ONLY  \nReceived   Check \\#   Amount   Approved   Issued    \nRevised 7.25  \nContinuing Education Form  \nTo qualify for reinstatement , a pharmacist must complete 12 hours of continuing education (CE) . The 12 hours of CE must be completed within the last 24 months. If the pharmacist applicant has a certificate to administer immunizations, one hour of the required 12 hours must be related to immunizations. ARSD 20:5 1 :19 .03.  \n\n| CE Program Name | CE Program Location | CE Program Date | Hours Earned |\n| --- | --- | --- | --- |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n|  |  |  |  |\n\nRecord of Charges, Convictions, and Discipline  \nAnswer Yes or No to the following. If you answer “Yes” to questions 1-7, on a separate paper provide a complete description of the dates and circumstances and provide supporting documentation. If you answer “No” to questions 8-9 , provide an explanation.  \n1. Since your last renewal, have you been convicted, plead guilty or no contest, or received a suspended imposition of sentence for a felony or other criminal offense (excluding minor traffic violations)?    \n2. Is there any pending criminal prosecution against you which would constitute a felony?    \n3. Since your last renewal, has your license to practice pharmacy in any jurisdiction been denied, revoked, suspended, stipulated, placed on probation, or otherwise subjected to any type of disciplinary actions?    \n4. Are you currently being investigated or the subject of pending disciplinary actions?    \n5. Do you currently have a condition related to alcohol or substance use that impairs your ability to practice pharmacy safety and competently?    \n6. Do you currently have a physical, mental, or emotional condition that impairs our ability to practice pharmacy safely and competently?    \n7. Do you have child support arrearages in the sum of $1,000 or more?    \n8. Do you follow the Rules of Professional Conduct as outlined in ARSD 20:51:16?    \n9. I attest that I am aware of the presence and availability of the Health Professionals Assistance Program.    \nAffidavit – this section must be completed in the presence of a notary public.  \nI, the undersigned, being duly sworn, say that I am the person referred to in the foregoing application, and I declare and affirm under the penalties of perjury that this application has been examined by me, and to the best of my knowledge and belief, is in all things true and correct.","cbCaihfzIvqxWwGh","https://ap.wps.com/l/cbCaihfzIvqxWwGh","pdf",252361,"English","# Application for Reinstatement as a Pharmacist in South Dakota\n## Applicant Information\n## Submit Items 1-3 With Application\n## FOR SD BOP USE ONLY\n## Continuing Education Form\n## Record of Charges, Convictions, and Discipline\n## Affidavit (Notary Required)","[{\"question\":\"What fees apply when reinstating an inactive South Dakota pharmacist license?\",\"answer\":\"The application requires payment of $125 for each year the SD license was inactive, capped at a maximum of 10 years, plus a one-time late fee of $50. Payment is calculated starting from the expiration date of the last SD license.\"},{\"question\":\"How many continuing education hours are required for reinstatement?\",\"answer\":\"A pharmacist must complete 12 hours of continuing education within the last 24 months. If the applicant has a certificate to administer immunizations, one of the required 12 hours must be related to immunizations.\"},{\"question\":\"What disciplinary and eligibility questions must be answered?\",\"answer\":\"Applicants must answer Yes or No for nine items covering convictions or pleas since the last renewal, pending criminal prosecution, prior license discipline, current investigations, impairing alcohol or substance use, impairing physical/mental/emotional conditions, child support arrearages of $1,000 or more, professional conduct rules compliance, and awareness of the Health Professionals Assistance Program.\"}]","Application for Reinstatement as a Pharmacist in South Dakota | PDF"]