APPLICATION FOR LICENSURE PHARMACIST - oregon.gov

1 1 Revised April 2019 APPLICATION FOR LICENSURE PHARMACIST NAPLEX IN AND OUT OF STATE (Expires June 30 of odd numbered years) APPLICATION & ELIGIBILITY REQUIREMENTS CHECKLIST: You cannot apply for LICENSURE in oregon until you have passed the NAPLEX for oregon and the oregon MPJE. The exam fees and additional information can be found on NABP s Registration Bulletin. You can reach NABP at (847) 391-4406 or Complete the following steps in this order*: (*see next page for detailed information regarding each step) Take and pass the NAPLEX ( oregon as Primary State) & oregon MPJE exam Complete the attached oregon PHARMACIST License APPLICATION and submit with all of the following.

2 An original 2 x2 passport/visa style photograph taken within the past 6 months Personal Identification Either a copy of your birth certificate AND a color copy of the front and back of your state issued photo ID OR a color copy of your signed Passport. Official Transcripts of your College or University Record (not required for FPGEC) Confirmation from your school/college of pharmacy that you have completed 1,440 School-based Rotational Internship hours If you have been arrested or cited for violations of the law other than simple traffic infractions such as speeding or parking tickets, the following items are required to be submitted.

3 O A written description of the incidents that led to each arrest/charge, and the surrounding circumstances o Copies of all police reports o Court documents o Other related documents $ Licensing Fee* payable to the oregon Board of Pharmacy by check or money order only. (*license valid through 6/30/21) *Priority processing will be given to complete applications. All applications submitted to the Board that are not complete and processed within 90 days from applicant signature will expire. Once expired, applicants who wish to continue with the APPLICATION process must reapply by submitting a new APPLICATION , along with all documentation, and all fees.

4 Mail completed APPLICATION and all required documentation to: oregon Board of Pharmacy 800 NE oregon Street, Suite 150 Portland OR 97232 Questions? Contact us: Telephone: (971) 673-0001 Please read the following instructions: 1. Create a new NABP e-profile account or log into your existing NABP e-profile account and register for the NAPLEX and oregon MPJE. For more information and to register for the exam(s), please go to: Once you have completed the NAPLEX and oregon MPJE APPLICATION process and your eligibility to test has been confirmed by NABP, you will receive an email from PearsonVue Testing Company with an Authorization To Test (ATT) confirmation number.

5 You are not eligible to apply for the exams until you have graduated. 2 Revised April 2019 2. Obtain an official transcript from the pharmacy school from which you graduated. You may request that the school send the transcript electronically to *Please note: The oregon Board of Pharmacy will also need an official transcript from the pharmacy school prior to LICENSURE . You can request that these be sent to the oregon Board of Pharmacy at the same time you make the request for NABP.

6 3. Take and pass both the NAPLEX & oregon MPJE exams. Passing NAPLEX scores are valid 1 year from test date. Passing oregon MPJE scores are valid 6 months from test date. You will need to become licensed prior to the earliest score expiration to avoid completing the process again. If you have not yet passed the NAPLEX & oregon MPJE, DO NOT SUBMIT AN APPLICATION OR DOCUMENTS OTHER THAN TRANSCRIPTS TO THE oregon BOARD OF PHARMACY. DO NOT COMPLETE THE NEXT STEPS UNTIL YOU HAVE PASSED THE NAPLEX AND oregon MPJE EXAMS.

7 4. Complete the attached oregon PHARMACIST LICENSURE APPLICATION and mail the notarized APPLICATION to the oregon Board of Pharmacy along with the required documents listed below: An original 2 x2 passport/visa style photograph taken within the past 6 months. You can obtain a photo at Walgreens, Fred Meyer/Kroger, Costco, Rite Aid, AAA, or other places that offer Passport Photo services. Identification Forms of acceptable identification are: 1. A copy of your birth certificate (issued from the vital records office in the state you were born in) AND a color copy of the front and back of your state issued photo ID OR 2.

8 A color copy of your signed Passport. If you were born outside the United States, you can submit a color copy of your country passport and work visa, country passport and Employment Authorization Document (EAD), or country birth certificate and naturalization document or residency card. Official Transcripts of your College or University Record (not required for FPGEC) o Submit your official transcripts detailing courses and grades, from your college, university, or pharmacy school in a sealed envelope. Official transcripts must include a school seal/stamp, degree awarded and the dates you attended pharmacy school.

9 The sealed envelope may be submitted to the Board by you or directly from your college, university of pharmacy school. Your transcripts may be sent electronically to or by mail to: oregon Board of Pharmacy 800 NE oregon St, STE 150 Portland, OR 97232 Confirmation from your school/college of pharmacy that you have completed 1,440 School-based Rotational Internship hours. If you have been arrested or cited for violations of the law other than simple traffic infractions such as speeding or parking tickets, the following items are required to be submitted: o A detailed, written description of the incidents that led to each arrest/charge, and the surrounding circumstances.

10 This must include relevant dates, the city and state where the incidents occurred, and the outcome of any criminal charges o Copies of all police reports - Contact the police agency(ies) involved for police reports o Court documents which include a copy of the court judgement and sentencing order or court order of dismissal, and documents providing evidence that you have completed or 3 Revised April 2019 are in compliance with any court-ordered activities - Contact the court(s) involved for all court records.