Healthcare · Rankings

Best US Cities for Pharmacists

Top US cities for Pharmacists ranked by estimated median salary, with cost-of-living-adjusted earning power.

Top 10 cities by salary
#CityEstimated salaryCost mult.vs national
1San Francisco, CA$178,4001.45×+$50,400
2Honolulu, HI$171,9001.30×+$43,900
3Oakland, CA$169,0001.35×+$41,000
4Irvine, CA$164,2001.30×+$36,200
5Boston, MA$163,9001.22×+$35,900
6Scottsdale, AZ$160,0001.18×+$32,000
7New York City, NY$156,7001.32×+$28,700
8San Diego, CA$155,6001.21×+$27,600
9Yonkers, NY$154,7001.20×+$26,700
10Anchorage, AK$154,7001.20×+$26,700
All 50 cities, ranked
#CitySalaryHourly
1San Francisco, CA$178,400$86/hr
2Honolulu, HI$171,900$83/hr
3Oakland, CA$169,000$81/hr
4Irvine, CA$164,200$79/hr
5Boston, MA$163,900$79/hr
6Scottsdale, AZ$160,000$77/hr
7New York City, NY$156,700$75/hr
8San Diego, CA$155,600$75/hr
9Yonkers, NY$154,700$74/hr
10Anchorage, AK$154,700$74/hr
11Miami, FL$154,100$74/hr
12Seattle, WA$152,700$73/hr
13Long Beach, CA$152,700$73/hr
14Anaheim, CA$152,700$73/hr
15Chula Vista, CA$149,900$72/hr
16Los Angeles, CA$147,700$71/hr
17Baltimore, MD$147,100$71/hr
18Portland, OR$145,200$70/hr
19Newark, NJ$145,200$70/hr
20Sacramento, CA$145,200$70/hr
21Riverside, CA$145,200$70/hr
22Philadelphia, PA$144,100$69/hr
23Henderson, NV$144,100$69/hr
24Denver, CO$143,300$69/hr
25Orlando, FL$143,100$69/hr
26Raleigh, NC$142,100$68/hr
27Worcester, MA$142,100$68/hr
28Stockton, CA$140,500$68/hr
29Aurora, CO$140,500$68/hr
30Hialeah, FL$140,500$68/hr
31Las Vegas, NV$139,500$67/hr
32Minneapolis, MN$139,500$67/hr
33Plano, TX$139,500$67/hr
34Houston, TX$138,100$66/hr
35Phoenix, AZ$137,600$66/hr
36Tampa, FL$137,600$66/hr
37Gilbert, AZ$137,600$66/hr
38Salt Lake City, UT$137,600$66/hr
39New Orleans, LA$136,100$65/hr
40Wilmington, DE$135,700$65/hr
41St. Paul, MN$135,700$65/hr
42Boise, ID$135,700$65/hr
43Fresno, CA$135,700$65/hr
44Nashville, TN$134,700$65/hr
45Colorado Springs, CO$134,700$65/hr
46St. Petersburg, FL$134,700$65/hr
47Madison, WI$134,700$65/hr
48St. Louis, MO$133,100$64/hr
49Winston-Salem, NC$133,100$64/hr
50Jacksonville, FL$132,800$64/hr
51Mesa, AZ$132,800$64/hr
52Chicago, IL$132,500$64/hr
53Austin, TX$132,500$64/hr
54Frisco, TX$132,500$64/hr
55Tucson, AZ$131,900$63/hr
56Glendale, AZ$131,900$63/hr
57Spokane, WA$131,900$63/hr
58Chandler, AZ$131,600$63/hr
59Memphis, TN$131,100$63/hr
60Pittsburgh, PA$130,900$63/hr
61Tallahassee, FL$130,900$63/hr
62Birmingham, AL$130,100$63/hr
63Milwaukee, WI$130,000$63/hr
64Albuquerque, NM$130,000$63/hr
65Atlanta, GA$129,800$62/hr
66Reno, NV$129,800$62/hr
67Charleston, SC$129,800$62/hr
68San Antonio, TX$129,000$62/hr
69Grand Rapids, MI$129,000$62/hr
70Detroit, MI$128,000$62/hr
71Cincinnati, OH$128,000$62/hr
72Lexington, KY$128,000$62/hr
73Virginia Beach, VA$128,000$62/hr
74Buffalo, NY$128,000$62/hr
75Chesapeake, VA$128,000$62/hr
76North Las Vegas, NV$128,000$62/hr
77Greensboro, NC$128,000$62/hr
78Knoxville, TN$128,000$62/hr
79Dallas, TX$127,100$61/hr
80El Paso, TX$127,100$61/hr
81Cleveland, OH$127,100$61/hr
82Bakersfield, CA$127,100$61/hr
83Norfolk, VA$126,200$61/hr
84Indianapolis, IN$126,100$61/hr
85Louisville, KY$126,100$61/hr
86Charlotte, NC$125,300$60/hr
87Fort Worth, TX$124,400$60/hr
88Garland, TX$124,400$60/hr
89Toledo, OH$124,200$60/hr
90Lubbock, TX$124,200$60/hr
91Arlington, TX$123,500$59/hr
92Wichita, KS$122,400$59/hr
93Fort Wayne, IN$122,400$59/hr
94Mobile, AL$122,400$59/hr
95Columbus, OH$120,800$58/hr
96Kansas City, MO$120,800$58/hr
97Corpus Christi, TX$120,800$58/hr
98Omaha, NE$119,000$57/hr
99Oklahoma City, OK$118,100$57/hr
100Lincoln, NE$118,100$57/hr

Does location actually decide Pharmacist pay?

Pharmacist work is rarely remote, so the metro you choose still largely determines what you earn. Pay ranges from $118,100 in Lincoln to $178,400 in San Francisco — a spread of 51%.

Worth checking before you plan around these numbers: Pharmacist needs NAPLEX and MPJE state licensing exams, and reciprocity between states varies from automatic to nonexistent. The higher-paying metro is only worth what you can actually earn there after re-credentialing.

Highest-paying is not the same as best-off

The number that ranks these metros is not the number you live on. In San Francisco, $178,400 against $3,000/month rent leaves roughly $142,400 a year after housing. In Lincoln, $118,100 against $950 leaves about $106,700. The top still wins after rent, but by $35,700 rather than the $60,300 the headline suggests.

Why these metros and not others

The metros at the top are not simply the expensive ones; they are where the hiring is. San Francisco (Salesforce, Google); Honolulu (U.S. Pacific Fleet/Joint Base Pearl Harbor-Hickam, Queen's Health Systems); Oakland (Kaiser Permanente (HQ), Port of Oakland). Depth of demand for healthcare work is what lifts pay above the local baseline, and it is why two equally costly cities can pay this role differently.

Salaries are modelled from BLS national medians adjusted for local price level at a wage elasticity below 1 — pay rises with local costs but not proportionally. See our methodology.

Frequently Asked Questions

Which city pays Pharmacists the most?
San Francisco, at roughly $178,400. Rent there averages $3,000 a month for a one-bedroom, so about $36,000 of that salary goes to housing before anything else. The metros near the top combine high local costs with concentrated healthcare employment — the second part is what actually lifts pay above the local baseline.
Should I move to the top-paying metro?
It depends what you keep, not what you earn. High-cost metros pay more but not proportionally more — that gap is exactly why the adjusted ranking reorders this list.
Can a Pharmacist work remotely from a cheaper city?
Largely no — the work is rarely remote. For this occupation the metro you live in and the metro that pays you are the same, which makes the ranking above a genuine relocation decision rather than something you can arbitrage.
Do I need a new license to work as a Pharmacist in another state?
Often yes. Pharmacist requires NAPLEX and MPJE state licensing exams, issued state by state. Some states have reciprocity agreements that make the transfer routine; others require re-examination. Confirm with the destination board before treating a higher-paying metro as reachable.