CallataGuides

Business phone system for pharmacies and drug stores in Texas

3,146 pharmacies and drug stores operated in Texas in 2023. Where they are, how big their teams are, and what phone service costs them.

Establishments
3,146CBP 2023
Employees
52,381mid-March 2023
Per 100k residents
10.1U.S. 12.3
State rank
3rd of 51by count

The pharmacy industry in Texas

Texas had 3,146 pharmacies and drug stores in 2023, according to Census County Business Patterns (NAICS 446110, Pharmacies and Drug Stores). They employed 52,381 people in mid-March and reported $2.4 billion in annual payroll. That is the 3rd highest count among the 51 states and DC with published figures. Pharmacies and drug stores make up 0.47% of the 670,878 business establishments in the state.

Per 100,000 residents (2024 estimate) Texas has 10.1 pharmacies and drug stores, 18.2% below the national rate of 12.3. The average establishment has 16.7 employees against 16.5 nationally. Payroll per employee is $45,022, in line with the U.S. figure of $44,477.

Pharmacies and drug stores: Texas compared with the U.S., 2023
MeasureTexasUnited States
Establishments3,14641,792
Mid-March employees52,381691,152
Annual payroll$2,358,281,000$30,740,561,000
Employees per establishment16.716.5
Payroll per employee$45,022$44,477
Establishments per 100,000 residents10.112.3

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.

Texas's largest markets for pharmacies and drug stores

Census published pharmacy counts for 54 metro or micropolitan areas that include part of Texas. The largest is Houston, TX, with 880 establishments. Single-state metro and micropolitan areas account for 94% 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, Texas, 2023
AreaEstablishmentsEmployeesPer 100k residents
Houston, TX88014,00311.3
Dallas, TX84714,33610.2
San Antonio, TX2504,3209.0
Austin, TX2064,1758.1
McAllen, TX1011,56011.0
El Paso, TX601,4416.8
Corpus Christi, TX4578510.0
Brownsville, TX4573810.4
Beaumont, TX4494111.0
Lubbock, TX3872910.4
Amarillo, TX3452112.4
Longview, TX3158010.5
Tyler, TX2655110.4
Waco, TX244507.8
Killeen, TX224414.3
College Station, TX224427.7
Laredo, TX213087.7
Abilene, TX2033710.9
Wichita Falls, TX1926212.7
Odessa, TX1828110.6
Midland, TX172149.0
Sherman, TX1522610.0
Victoria, TX1427914.1
Texarkana, TX-AR131728.9
San Angelo, TX112079.0

Top 25 of 54 areas by establishments. Source: Census CBP 2023.

Team sizes at pharmacies and drug stores in Texas

23.7% of Texas's pharmacies and drug stores with employees had fewer than five people in March 2023, compared with 18.4% nationally. 38.5% 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 Texas by employment size, 2023
Employment sizeEstablishmentsShareU.S. share
1–4 employees74423.7%18.4%
5–9 employees46814.9%20.3%
10–19 employees33310.6%16.4%
20–49 employees1,56149.7%43.4%
50 or more employees381.2%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.

What pharmacies and drug stores in Texas use the phone for

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.

Calls a pharmacy in Texas might handle in a typical week include:

What pharmacies and drug stores text about

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

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

Phone system pricing for a 17-person pharmacy

Pharmacies and drug stores in Texas average 16.7 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 Texas 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 Texas

Texas has 29 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 Texas by assigned exchanges
Area codeExchangesTime zoneIn service sinceOverlay with
281786Central1996346, 621, 713, 832
469786Central1999214, 945, 972
832786Central1999281, 346, 713
512785Central1947737
713785Central1947281, 346, 621, 832
972785Central1996214, 469, 945
210784Central1992726
214784Central1947469, 945, 972
817780Central1953682
903771Central1990430
346752Central2014281, 621, 713, 832
956735Central1997none
806734Central1957none
254671Central1997none
361537Central1999none
940506Central1997none
830496Central1997none
409433Central1982none
936422Central2000none
682421Central2000817

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 Texas

For $99 a month, Callata puts a team of up to 5 on one plan ($20 for each person after that): up to 3 local numbers, unlimited inbound calls, a pooled allowance of 1,500 outbound US and Canada minutes per user, browser and cell calling, voicemail transcription with urgency triage, recorded calls with AI summaries and business-hours routing, with E911 on every number.

Porting a number you already use in Texas 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 Texas?

3,146 in 2023, according to Census County Business Patterns. They employed 52,381 people in mid-March.

Which Texas metro area has the most pharmacies and drug stores?

Houston, TX, with 880 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 Texas 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.