Apply for Membership

Step 1 of 5Professional identity

Tell us who you are and which membership category fits best. We use your legal name for review; you can choose how your name is shown publicly.

Membership category

Choose the category closest to your role. Not sure? Choose “I’m not sure” and we will recommend one.

Student MemberFor pharmacy students preparing to lead the future of the profession.$29/yearPharmacy Technician MemberFor pharmacy technicians seeking professional growth, stronger connections, and new leadership opportunities.$49/yearPharmacist MemberFor pharmacists across community, clinical, long-term care, health-system, academic, and other practice settings.$199/yearPharmacy Team MembershipFor independent pharmacies and pharmacy teams ready to grow together.Apply as the lead contact for your organization.Long-Term Care & Organization MembershipFor long-term care pharmacies, health organizations, educational institutions, and pharmacy groups.Apply as the lead contact for your organization.I’m not sureWe will recommend the right category during review.

Legal first name

Legal last name

Preferred professional name (optional)

How you would like your name shown, e.g. “Dr. Sam Rivera”.

Credentials / post-nominals (optional)

e.g. PharmD, RPh, CPhT, BCPS

Email address

We will send your confirmation and decision here.

Phone (optional)

Only used by staff if we need to reach you about this application.

Country

State or region (optional)

LinkedIn or professional profile (optional)

A full https:// link.

Step 2 of 5Practice & credentials

Your current role and professional credentials. Please do not upload or enter identity documents — NPHLA does not need them to review your application.

Current role or job title

Organization or employer (optional)

Professional discipline

Primary practice setting

Organization type (optional)

Years of professional experience

Specialty or areas of practice (optional)

e.g. oncology, geriatrics, informatics, compounding

Professional license

Used only to help staff review your application. We never display license numbers publicly.

License type

Issuing state or jurisdiction

Required unless you hold no professional license.

License number (optional)

NPI number (optional)

10 digits, if you have one. The NPI is a public identifier.

Step 3 of 5Leadership & interests

NPHLA is built around leadership and knowledge. This helps us connect you with the right tracks, topics and people.

Current leadership responsibilities (optional)

Teams, services, projects or committees you lead or contribute to. It is fine if you are just starting out.

Step 4 of 5Community & contribution

In your own words — there are no right answers. A few honest sentences are better than a polished essay.

Why do you want to join NPHLA?

A few sentences (at least 40 characters).

How would you like to contribute? (optional)

e.g. mentoring, writing, speaking, committee work, sharing practice — or simply learning.

How did you hear about NPHLA? (optional)

Referred by (optional)

Name of a member or colleague, if any.

Step 5 of 5Review & submit

Check your answers, then confirm the statements below. You can go back to any step to make changes.

Professional identity

Category: —
Name: —
Preferred name: —
Credentials: —
Email: —
Phone: —
Location: —
Profile link: —

Practice & credentials

Role: —
Organization: —
Organization type: —
Discipline: —
Practice setting: —
Specialty: —
Experience: —
License: —
NPI: —

Leadership & interests

Responsibilities: —
Leadership interests: —
Professional interests: —

Community & contribution

Why NPHLA: —
Contribution: —
Heard about us: —
Referred by: —

Confirmations

The information in this application is accurate and complete to the best of my knowledge.

I will uphold the NPHLA Membership Standards & Code of Conduct.

I understand that applications are reviewed by NPHLA staff and that submitting an application does not guarantee membership.

I have read the Privacy Notice and understand how my application information is used.

I agree to the Membership Terms.

NPHLA membership is a professional association membership. It is not a license, certification or accreditation.

Step 1 of 5Professional identity

Step 2 of 5Practice & credentials

Step 3 of 5Leadership & interests

Step 4 of 5Community & contribution

Step 5 of 5Review & submit

Professional identityEdit professional identity

Practice & credentialsEdit practice and credentials

Leadership & interestsEdit leadership and interests

Community & contributionEdit community and contribution

Professional identity

Practice & credentials

Leadership & interests

Community & contribution