2026 Salary — North Dakota
Updated April 29, 2026
Pharmacist Salary in North Dakota: $131K Median
Pharmacists in North Dakota earn between $100K and $157K per year.
That's -5% below the US national median.
Quick Answer
As of April 2026, the median Pharmacist salary in North Dakota is $130,606 per year — -5% below the US national median of $137,480. Salaries range from $99,750 (entry, 25th percentile) to $156,750 (90th percentile). North Dakota's cost-of-living index is 94. State income tax applies.
Median
$130,606
+560.0% YoY
Entry
$104,500
Experienced
$147,250
Top 10%
$156,750
About Pharmacists in North Dakota
Pharmacists dispense medications, counsel patients, and ensure safe medication use. Roles span retail, hospital, clinical, and industry.
Hot 2026 Skills
Clinical pharmacySpecialty drugsMTMTelepharmacyPharmGenomics
ATS Keywords
PharmDprescription verificationpatient counselingclinical pharmacymedication therapy managementEpic
How to Negotiate Your Pharmacist Salary in North Dakota
Walk-away anchor: $118,733.
Leverage Points
- Specialty certifications (CCRN, OCS, BCPS, FNP) command 8-15% premiums
- Compact license / multi-state authority and willingness to float between units
- Night, weekend, and holiday shift differentials add up to $10K-$25K annually
- Critical-shortage specialties (ICU, ER, NICU, oncology) have the most leverage
Negotiate Beyond Base
Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles)Tuition reimbursement and certification stipendsLoan repayment programs (especially federal/HRSA-eligible)Shift differentials (nights +15%, weekends +10%)Relocation package and housing stipend
Pharmacist Salary FAQ — North Dakota
What is the average Pharmacist salary in North Dakota?
The average Pharmacist salary in North Dakota is $130,606 per year as of April 2026. Salaries range from $99,750 (entry, 25th percentile) up to $156,750 (90th percentile). State income tax applies.
How does Pharmacist pay in North Dakota compare to the US average?
Pharmacists in North Dakota earn approximately 5% less than the US national median ($137,480 nationally vs $130,606 in North Dakota). North Dakota's cost-of-living index of 94 amplifies the real purchasing power.
Did Pharmacist salaries in North Dakota increase in 2026?
Yes — Pharmacist salaries in North Dakota grew approximately 560.0% year-over-year, from $19,789 in 2025 to $130,606 in 2026. This reflects the broader Healthcare sector's wage growth, driven by Clinical pharmacy and Specialty drugs demand.
Which North Dakota cities pay Pharmacists the most?
North Dakota has no major metros in our database — fallback to the closest tracked city for detailed breakdowns.
What's the job outlook for Pharmacists in North Dakota?
Pharmacist employment relatively stable. Clinical pharmacist roles growing fastest as retail consolidates. North Dakota's top industries include Energy (Bakken Oil), Agriculture, Manufacturing, and the state's unemployment rate is 2.5% — a tight labor market favoring candidates.
Does North Dakota have state income tax?
Yes, North Dakota has state income tax. This affects take-home pay — at $130,606, expect 4-7% effective state tax depending on filing status. See city pages for detailed take-home calculations.
What skills are most in demand for Pharmacists in 2026?
Hottest 2026 skills: Clinical pharmacy, Specialty drugs, MTM, Telepharmacy, PharmGenomics. ATS systems specifically scan for these. Adding them to your resume — naturally and in context — improves your match rate with North Dakota employers.
How can I increase my Pharmacist salary in North Dakota?
Given the current shortage in this specialty and my certifications, I'm looking for $X base plus shift differential and a sign-on bonus. What flexibility do you have on those line items? Beyond base, negotiate: Sign-on bonus ($10K-$30K, often $50K+ for hard-to-fill roles), Tuition reimbursement and certification stipends, Loan repayment programs (especially federal/HRSA-eligible), Shift differentials (nights +15%, weekends +10%). Walk-away anchor for North Dakota: $118,733.
Methodology
North Dakota Pharmacist salary is the BLS national median ($137,480) adjusted by North Dakota's state multiplier (0.95×). YoY rate from BLS Employment Cost Index. Last reviewed April 29, 2026.
Pharmacist Salary in Other States
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