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Business phone system for pharmacies and drug stores in North Carolina

1,466 pharmacies and drug stores operated in North Carolina in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
1,466CBP 2023
Employees
25,025mid-March 2023
Per 100k residents
13.3U.S. 12.3
State rank
8th of 51by count

Pharmacies and drug stores in North Carolina by the numbers

The Census Bureau counted 1,466 pharmacies and drug stores in North Carolina in its 2023 County Business Patterns (NAICS 446110). They employed 25,025 people in mid-March and reported $1.1 billion in annual payroll. That is the 8th highest count among the 51 states and DC with published figures. Pharmacies and drug stores make up 0.57% of the 258,169 business establishments in the state.

Per 100,000 residents (2024 estimate) North Carolina has 13.3 pharmacies and drug stores, 8.0% above the national rate of 12.3. The average establishment has 17.1 employees against 16.5 nationally. Payroll per employee is $42,580, 4.3% below the U.S. figure of $44,477.

Pharmacies and drug stores: North Carolina compared with the U.S., 2023
MeasureNorth CarolinaUnited States
Establishments1,46641,792
Mid-March employees25,025691,152
Annual payroll$1,065,556,000$30,740,561,000
Employees per establishment17.116.5
Payroll per employee$42,580$44,477
Establishments per 100,000 residents13.312.3

Census County Business Patterns 2023 (mid-March employment; annual payroll). Employees and payroll flagged high-noise are shown but not used in the text. Residents: Census Vintage 2024 estimates.

Where pharmacies and drug stores in North Carolina are concentrated

Census published pharmacy counts for 39 metro or micropolitan areas that include part of North Carolina. The largest is Charlotte, NC-SC, with 347 establishments (a multi-state area; its count covers every state it spans). Single-state metro and micropolitan areas account for 71% of the statewide total; the rest are outside any published area or in areas Census suppressed.

Pharmacies and drug stores by metro or micropolitan area, North Carolina, 2023
AreaEstablishmentsEmployeesPer 100k residents
Charlotte, NC-SC3475,94712.0
Virginia Beach, VA-NC1893,11910.5
Raleigh, NC1893,17512.1
Greensboro, NC991,91512.4
Winston, NC991,72514.0
Durham, NC751,35312.1
Wilmington, NC601,08212.5
Hickory, NC5799415.3
Asheville, NC5489212.8
Fayetteville, NC4575011.4
Rocky Mount, NC2741118.4
Burlington, NC2341612.6
Greenville, NC2347912.7
Lumberton, NC2330419.4
Shelby, NC2230821.5
New Bern, NC1926215.1
Jacksonville, NC173058.0
Pinehurst, NC1626314.8
Mount Airy, NC1426319.6
Morehead City, NC1419019.9
Goldsboro, NC1318310.8
Wilson, NC1322816.3
Anderson Creek, NC122608.2
Roanoke Rapids, NC12—18.9
Sanford, NC1117716.0

Top 25 of 39 areas by establishments. Source: Census CBP 2023.

Team sizes at pharmacies and drug stores in North Carolina

10.9% of North Carolina's pharmacies and drug stores with employees had fewer than five people in March 2023, compared with 18.4% nationally. 35.4% had fewer than ten. At that size the phone is shared, so routing (who rings, when, and what happens after hours) matters more than the number of desk phones.

Pharmacies and drug stores in North Carolina by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees15910.9%18.4%
5–9 employees35924.5%20.3%
10–19 employees26818.3%16.4%
20–49 employees66145.2%43.4%
50 or more employees171.2%1.6%

Employment-size classes count establishments by mid-March 2023 employment. Establishments with no March employees are excluded from the size classes, so shares are of establishments with employees. Source: Census County Business Patterns 2023.

Calls a pharmacy in North Carolina has to catch

Independent pharmacies take refill requests, prescriber calls and insurance questions throughout the day, often while pharmacists are filling prescriptions. Sorting calls by purpose keeps prescribers and patients from waiting in the same queue. That holds for pharmacies and drug stores in North Carolina as much as anywhere.

A few of the calls that come in to pharmacies and drug stores in North Carolina:

Business texting for pharmacies and drug stores

Independent pharmacies text customers when a prescription is ready for pickup and when a refill needs attention.

Texting from a local number in North Carolina requires carrier registration (10DLC), a one-time $49 fee on Callata.

Callata vs. per-seat pricing for pharmacies and drug stores in North Carolina

Pharmacies and drug stores in North Carolina average 17.1 employees, so the comparison uses a 17-person team. Priced per seat, 17 users would run $510.00 a month on RingCentral RingEX Core and $424.15 on Ooma Office Pro (month-to-month list prices, checked September 28, 2026). Callata comes to $339.00 a month for 17 users ($99 a month with 5 users included, then $20 per additional user), below both.

Over a year, that is $2,052 less than RingCentral for a pharmacy in North Carolina of that size. Annual contracts lower some competitors' prices, so compare the plan you would actually sign.

Monthly list price for a 17-person pharmacy
Provider (plan)Pricing basisPer monthPer year
Callata (Callata Office)$99 incl. 5 users, $20 per extra user$339.00$4,068.00
Quo (Starter)$19.00 per user$323.00$3,876.00
Nextiva (Core)$23.00 per user$391.00$4,692.00
Ooma (Office Pro)$24.95 per user$424.15$5,089.80
Dialpad (Standard)$27.00 per user$459.00$5,508.00
RingCentral (RingEX Core)$30.00 per user$510.00$6,120.00

Competitor prices are each vendor's published month-to-month list price per user for its lowest plan that includes business calling and texting, checked September 28, 2026: Quo Starter $19, Nextiva Core $23, Ooma Office Pro $24.95 (Essentials excludes texting; one-time $29.95 activation not included), Dialpad Standard $27, RingCentral RingEX Core $30 ($20 billed annually). Prices exclude taxes and fees and may change; annual contracts lower some competitors' prices.

Area codes in North Carolina

North Carolina has 10 geographic area codes in service according to NANPA. Callata includes up to 3 local numbers, so a pharmacy can hold a number in more than one of them.

Area codes in North Carolina by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
910785Eastern1993472
336783Eastern1997743
704782Eastern1947980
919781Eastern1954984
828724Eastern1998none
252695Eastern1998none
980463Eastern2001704
984295Eastern2012919
743160Eastern2016336
472106Eastern2022910

Exchanges are NANPA-assigned central office codes (NPA-NXX) in the rate centers matched to the area's named places. Source: NANPA utilized code and NPA reports.

How Callata works for pharmacies and drug stores in North Carolina

Callata is a business phone system priced at $99 a month with 5 users included, then $20 per additional user. Callata Office includes up to 3 local business numbers, unlimited inbound calling, 1,500 pooled outbound US and Canada minutes per user each month, a browser softphone that can also ring your cell, voicemail with transcription, call recording with AI summaries, business-hours routing and E911 on every number.

Porting a number you already use in North Carolina is free, and business texting is available once the carrier registration (10DLC) is approved; the registration carries a one-time $49 fee. Which specific numbers are open in a given area code depends on carrier inventory at the time you sign up.

AI agents are optional: an AI receptionist or scheduler can pick up when the team is busy or closed, take a message, send a text or email, or transfer the call. They draw on prepaid AI minutes ($0.25/minute), disclose that they are AI, and outbound AI calls require prior consent and are limited to 8am–9pm.

Practices that handle protected health information should review their own privacy obligations before recording calls, enabling AI summaries or texting appointment details, and keep clinical conversations out of text messages unless their policies allow it.

Frequently asked questions

How many pharmacies and drug stores are in North Carolina?

1,466 in 2023, according to Census County Business Patterns. They employed 25,025 people in mid-March.

Which North Carolina metro area has the most pharmacies and drug stores?

Charlotte, NC-SC, with 347 establishments in 2023.

What does a phone system cost a 17-person pharmacy?

$510.00 a month on RingCentral RingEX Core or $424.15 on Ooma Office Pro at month-to-month list prices (checked September 28, 2026); $339.00 on Callata ($99 a month with 5 users included, then $20 per additional user).

Do I need to register to text customers from a North Carolina number?

Yes. US carriers require business texting from local numbers to be registered (10DLC). On Callata the registration is a one-time $49 fee, and texting turns on once it is approved.