Healthcare

Pharmacist Salary in North Dakota (2026)

The average Pharmacist in North Dakota earns around $138,000/year. After taxes, your estimated take-home is $103,151/year ($8,596/month).

Take-Home Pay Breakdown

CategoryAmount
Annual Take-Home Pay
$103,151
Monthly Take-Home Pay
$8,596
Biweekly Take-Home Pay
$3,967
Hourly Take-Home Pay

based on 2,080 hrs/year

$50/hr
Federal Tax
$21,854
State Tax
$2,438
FICA Taxes
$10,557
Effective Tax Rate

total taxes ÷ gross salary

25.25%
Estimates only — not tax advice. · Full disclaimer →

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Pharmacist Salary Ranges in North Dakota

Entry Level (0–3 yrs)

$118,000

/year

See tax breakdown →

Mid Level (3–7 yrs)

$138,000

/year

See tax breakdown →

Senior Level (7+ yrs)

$168,000

/year

See tax breakdown →

Not all Pharmacists earn the same — not even close

North Dakota's pharmacy market is anchored by North Dakota State University College of Pharmacy Fargo (the only ND PharmD-granting institution + ~80 PharmDs annually + the substantial NDSU PharmD + the substantial NDSU College of Pharmacy + Nursing + Allied Sciences research), Sanford Health Pharmacy Network (Sanford Bismarck + Sanford Fargo + Sanford Children Hospital + Sanford USD multi-state), Essentia Health Pharmacy Fargo + Essentia Health-Mid Dakota, Altru Health Grand Forks Pharmacy + CHI St. Alexius Bismarck Pharmacy + Trinity Health Minot Pharmacy, Indian Health Service IHS ND reservation pharmacy (Standing Rock + Spirit Lake + MHA Nation + Turtle Mountain IHS), the substantial ND retail pharmacy with the substantial ND-only pharmacy ownership law (NDCC §43-15-35 requiring ND pharmacy ownership by licensed pharmacist — one of country's only states with such restriction + the substantial ND independent pharmacy + the substantial ND Walgreens + CVS franchise structure adaptations), plus VA Fargo + VA Bismarck Pharmacy.

Senior Clinical Pharmacist (Sanford Cancer)

$125,000–$172,000+ bonus

Sanford Cancer Center · ND oncology pharmacy

Senior Clinical Pharmacist (Sanford / Essentia / Altru)

$112,000–$155,000+ bonus

Sanford + Essentia + Altru + CHI + Trinity · acute clinical pharmacy

Senior Pharmacy Owner / Independent

$148,000–$285,000+ profit

Independent retail pharmacy owner · the substantial ND-only pharmacy ownership law NDCC §43-15-35

Senior Pharmacist (Walgreens / CVS Adapted Structure)

$108,000–$148,000+ bonus

Walgreens + CVS ND franchise + Hugo Drugs ND + the substantial ND pharmacy ownership law

Senior IHS Reservation Pharmacist

$118,000–$155,000+ loan repayment

Standing Rock + Spirit Lake + MHA + Turtle Mountain IHS · NHSC + LRP

Senior Hospital Pharmacist (Sanford Children Fargo)

$108,000–$148,000+ bonus

Sanford Children Hospital Fargo · pediatric clinical pharmacy

Senior Specialty Pharmacist (Sanford / Essentia)

$115,000–$155,000+ bonus

Sanford + Essentia Specialty Pharmacy · oncology + biologics + high-cost meds

Senior Federal Civilian (VA Fargo / Bismarck)

$108,000–$148,000

VA Fargo + VA Bismarck VAHCS · GS-13/14 federal civilian pharmacy

Mid-Career Pharmacist (3-7 yrs)

$98,000–$132,000

Functional pharmacist at ND health systems · transitioning to senior band

New Pharmacist (PGY-1 / Staff)

$88,000–$115,000

New PharmD at Sanford + Essentia + NDSU PGY-1 + retail · entry band

Worth knowing: North Dakota Pharmacy Ownership Law NDCC §43-15-35 is one of the country's distinctive concentrated US single-state pharmacy ownership restriction anchor and a feature most national pharmacy surveys understate for ND. The substantial ND-only pharmacy ownership law (NDCC §43-15-35 requiring ND pharmacy ownership by licensed pharmacist + ND being one of the country's only US states with such pharmacy ownership restriction + the substantial post-1963 ND pharmacy ownership law preserving substantial ND independent pharmacy ownership + the substantial ND independent pharmacy density ~50%+ of ND pharmacies independently owned + the substantial Walgreens + CVS + Walmart adapting to ND ownership requirements through licensed pharmacist + the substantial Hugo Drugs + Thrifty White Pharmacy + the substantial ND post-2014 + post-2024 pharmacy ownership law preservation campaigns) supports distinctive ND independent pharmacy ownership economics. Senior ND independent pharmacy owners clear $148-285K+ profit — significantly above corporate retail pharmacist compensation. NDSU College of Pharmacy Fargo as the only ND PharmD-granting institution + Sanford Health Pharmacy Network multi-state + Essentia + Altru + CHI + Trinity hospital pharmacy + the substantial Indian Health Service IHS ND reservation pharmacy + VA Fargo + VA Bismarck federal civilian. ND flat 1.95%/2.5% top + ND RTW since 1948 anchor the ND pharmacy proposition.

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