Registration Application Requirements & Forms

Information for NYS Registered Pharmacy Establishments Nonresident, Out of State Manufacturer/Wholesaler/Repacker Application Requirements and Forms Registration Application Requirements & Forms Application Requirements & Forms Nonresident, Out of State Pharmacy Application Requirements and Forms Outsourcing Facility Application Requirements & Forms Listing of Outsourcing Facilities Meeting Agendas

Resident In State Pharmacy

Registration Application Requirements & Forms

Application Requirements

An initial application must be submitted for each resident in state pharmacy in order to do business in New York. A completed application must be submitted with the required registration fee (see PH208 Checklist for Preliminary Registration of a Pharmacy (48 KB) for information on documents required). Make checks payable to the New York State Education Department. Note: Your cancelled check is your receipt.

You must answer all questions and provide all information requested unless otherwise indicated. Failure to complete all required parts of the application will delay its review. Submit applications directly to the Office of the Professions at the mailing address at the end of the form.

The burden of submitting a properly completed application rests with the applicant. We have provided detailed instructions to assist you. Please read them carefully.

If you are not sure about what is required, especially as it relates to corporate documents and filings, you may wish to consult with your attorney. You should also know that applications are processed in the order in which they are received. In the interest of fairness, we cannot deviate from this policy.

For pharmacies or establishments with sterile compounding, please submit your completed application at least 12 to 16 weeks before the planned opening or transfer of your pharmacy or establishment.

For pharmacies or establishments without sterile compounding, please submit your completed application at least 10 to 14 weeks before the planned opening or transfer of your pharmacy or establishment.

Applicants are urged to retain copies of all applications and documents submitted to the Pharmacy Board Office. Other agencies may require copies of applications for their registration. It is the applicant's responsibility to make and retain these copies. INCOMPLETE APPLICATIONS WILL BE RETURNED TO YOU FOR COMPLETION.

Application Forms

Note: All forms are in Adobe Portable Document Format (PDF). To view or print these documents, you will need to have the free Adobe Reader installed on your computer. Download times and print quality will depend on your connection speed and printer.