Pharmacy Establishments
Nonresident, Out of State Pharmacy Application Requirements and Forms
An initial application must be submitted for
each nonresident establishment in order to do business in New York.
A completed application (OOSPH502 
48
KB)
with notarized signature must be submitted with the registration
fee of $345, a copy of your home state license and a completed
license verification form (00S506 59
KB)
from your resident state. 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. Your signature on page 4 must be notarized by a Notary Public. Submit applications directly to the Office of the Professions at the mailing address at the end of the form.
Nonresident Pharmacy INITIAL or Transfer of Ownership Application Forms
- Instructions OOS500p (
20
KB)
- Application OOSPH502 (
48
KB)
- License Verification
Form OOS506 (
59
KB)
- Registered Agent
for Service OOS507 (
26
KB)
Registered establishments must notify the NYS Board of Pharmacy whenever there is a change of location, change of name or change of officers and/or owners. A completed application (OOSPH502) and license verification form must be submitted to the Office of the Professions at the mailing address at the end of the form whenever these changes occur. There is no fee required for a name, location or officer/owner change.
Nonresident Pharmacy Change of LOCATION
- Instructions OOS500a (
19
KB)
- Application OOS502 (
48
KB)
- License Verification
Form OOS506 (
59
KB)
Nonresident Pharmacy Change of NAME
- Instructions OOS500b (
19
KB)
- Application OOS502 (
48
KB)
- License Verification
Form OOS506 (
59
KB)
Nonresident Pharmacy Change of OFFICERS and/or OWNERS
- Notification Form OOS522 (
20
KB)
