Clinical Pharmacist Jobs in North Carolina
Clinical Pharmacist jobs in North Carolina are highly active, with strong demand concentrated in health systems, specialty pharmacy, and ambulatory care settings at every level from new PharmD graduates through senior clinical specialists. The largest hiring metros are Charlotte, Raleigh-Durham, and Greensboro, where major employers such as Duke Health, Atrium Health, and UNC Health maintain consistent clinical pharmacist pipelines. The most in-demand specialties across North Carolina include oncology, critical care, and medication therapy management. Find a role that fits below and apply directly.
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At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Location:
- 4101 Macon Pond Rd
- Raleigh, North Carolina
Working hours:
- 1st shift
- Monday-Friday
- On-site
Occupational Summary
- Provide pharmaceutical care services to the patients of the Duke University Health System including, but not limited to oversight, monitoring, preparation, dispensing and proper documentation of patient medicationtherapy as well as providing drug information, patient information and oversight of information and dispensing systems; ensure compliance with Federal, State and local laws and regulations as well as proper storage and documentation.
- May also advise physicians on matters pertaining to drug usage and control; participate in the development and delivery of continuing education programs for Pharmacy, Patient Care Services, Medical Staff and students.
Work Performed
- Review and monitor patient's medication therapy and orders written by appropriate caregivers for safety and efficacy considering specific patient conditions and health status; advise patient care team of issues with, or possible enhancements to, patient's medication therapy and document such interventions.
- Prepare, label and dispense medications for patients in accordance with physicians' prescriptions; ensure compliance with Federal, State and local laws and regulations pertaining to the dispensing of drugs and narcotics and the maintenance of required records.
- Maintain appropriate records of dispensing and oversee and maintain the systems that charge or credit for medications and medication treatments.
- Provide drug information and educate caregivers, patients and students regarding medications and their proper use and monitoring.
- Oversee and monitor all aspects of the medication process; collect data and present reports and recommendations regarding issues with the medication systems.
- Ensure that appropriate medications are available for patients and properly procured, prepared, stored and maintained.
- Supervise the process and technical personnel who assist in preparation, maintenance and dispensing of drugs and supplies.
- Provide support, education and oversight for investigational medications for patients; provide information regarding their preparation, labeling and availability within the medication system; maintain appropriate and required records and documentation for investigational drugs.
- Provide specialized pharmaceutical services to improve drug usage and therapeutic outcomes including advising physicians on issues concerning drug therapy, the inherent toxicity of drugs and side effects, as well as assisting in the prescription of appropriate doses.
- Contributes to the education of students and pharmacy residents.
- Maintain liaison relationships with medical and nursing staff; provide timely information pertaining to pharmaceutical supplies, drug usage and compatibility, state and federal regulations regarding drug controls, and Joint Commission standards.
- Conduct and evaluate medication histories, assess compliance and suggest modifications so as to achieve desired outcomes; instruct patients in the proper use of prescribed drugs; participate in patientcare rounds with multidisciplinary teams to evaluate patient progress.
- Individualize medication regimens using sound principles, accounting for pharmacodynamic and pharmacokinetic variations in drug absorption, distribution, metabolism and elimination with responsibility for establishing and continually improving the delivery of pharmaceutical care to patients within areas of direct responsibility and assisting others in the department with the same.
- Conduct and participate in research including, but notlimited to, performing as the primary investigator or co-investigator for research programs which will impact on the delivery of quality care or examine the pharmacoeconomic impact of providing care to the patients in the Duke Health System.
- Perform other related duties incidental to the work described herein.
Knowledge, Skills and Abilities
- Ability to communicate clearly in oral and written form.
- Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states.
- Ability to work with information systems, automated and technical equipment.
- Ability to establish and maintain working relationships with various members of health care teams.
Level Characteristics
- N/A
Minimum Qualifications
Education
- Doctor of Pharmacy Degree OR BS Pharmacy Degree
Experience
- With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
- With Doctor of Pharmacy degree, no experience is required.
Degrees, Licensures, Certifications
- Licensed Pharmacist or eligible to practice pharmacy in North Carolina
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.
About Duke University Hospital
Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Location:
- 4101 Macon Pond Rd
- Raleigh, North Carolina
Working hours:
- 1st shift
- Monday-Friday
- On-site
Occupational Summary
- Provide pharmaceutical care services to the patients of the Duke University Health System including, but not limited to oversight, monitoring, preparation, dispensing and proper documentation of patient medicationtherapy as well as providing drug information, patient information and oversight of information and dispensing systems; ensure compliance with Federal, State and local laws and regulations as well as proper storage and documentation.
- May also advise physicians on matters pertaining to drug usage and control; participate in the development and delivery of continuing education programs for Pharmacy, Patient Care Services, Medical Staff and students.
Work Performed
- Review and monitor patient's medication therapy and orders written by appropriate caregivers for safety and efficacy considering specific patient conditions and health status; advise patient care team of issues with, or possible enhancements to, patient's medication therapy and document such interventions.
- Prepare, label and dispense medications for patients in accordance with physicians' prescriptions; ensure compliance with Federal, State and local laws and regulations pertaining to the dispensing of drugs and narcotics and the maintenance of required records.
- Maintain appropriate records of dispensing and oversee and maintain the systems that charge or credit for medications and medication treatments.
- Provide drug information and educate caregivers, patients and students regarding medications and their proper use and monitoring.
- Oversee and monitor all aspects of the medication process; collect data and present reports and recommendations regarding issues with the medication systems.
- Ensure that appropriate medications are available for patients and properly procured, prepared, stored and maintained.
- Supervise the process and technical personnel who assist in preparation, maintenance and dispensing of drugs and supplies.
- Provide support, education and oversight for investigational medications for patients; provide information regarding their preparation, labeling and availability within the medication system; maintain appropriate and required records and documentation for investigational drugs.
- Provide specialized pharmaceutical services to improve drug usage and therapeutic outcomes including advising physicians on issues concerning drug therapy, the inherent toxicity of drugs and side effects, as well as assisting in the prescription of appropriate doses.
- Contributes to the education of students and pharmacy residents.
- Maintain liaison relationships with medical and nursing staff; provide timely information pertaining to pharmaceutical supplies, drug usage and compatibility, state and federal regulations regarding drug controls, and Joint Commission standards.
- Conduct and evaluate medication histories, assess compliance and suggest modifications so as to achieve desired outcomes; instruct patients in the proper use of prescribed drugs; participate in patientcare rounds with multidisciplinary teams to evaluate patient progress.
- Individualize medication regimens using sound principles, accounting for pharmacodynamic and pharmacokinetic variations in drug absorption, distribution, metabolism and elimination with responsibility for establishing and continually improving the delivery of pharmaceutical care to patients within areas of direct responsibility and assisting others in the department with the same.
- Conduct and participate in research including, but notlimited to, performing as the primary investigator or co-investigator for research programs which will impact on the delivery of quality care or examine the pharmacoeconomic impact of providing care to the patients in the Duke Health System.
- Perform other related duties incidental to the work described herein.
Knowledge, Skills and Abilities
- Ability to communicate clearly in oral and written form.
- Extensive knowledge of drug products, medical therapeutics, pharmacokinetics, and disease states.
- Ability to work with information systems, automated and technical equipment.
- Ability to establish and maintain working relationships with various members of health care teams.
Level Characteristics
- N/A
Minimum Qualifications
Education
- Doctor of Pharmacy Degree OR BS Pharmacy Degree
Experience
- With a BS Pharmacy degree, two years of pharmacy practice experience, or acceptable board certification, or completion of an accredited residency program and demonstrated ability to achieve positive patient outcomes in a similar environment is required.
- With Doctor of Pharmacy degree, no experience is required.
Degrees, Licensures, Certifications
- Licensed Pharmacist or eligible to practice pharmacy in North Carolina
Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
See All 97 Clinical Pharmacist Jobs in North Carolina
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Find Clinical Pharmacist JobsClinical Pharmacist Jobs by City in North Carolina
Where North Carolina roles are concentrated, by current openings.
Clinical Pharmacist Job Market in North Carolina
A snapshot from current North Carolina openings, updated as new roles post.
Who's Hiring
- Atrium Health19
- Advocate Aurora Health19
- Novant Health16
- Duke Health11
- UNC Health8
Top Industries Hiring
- Healthcare & Medical Services
What North Carolina Employers Look For
The qualifications that appear most often in clinical pharmacist jobs across North Carolina.
- Active North Carolina pharmacist license issued by the NC Board of Pharmacy
- Doctor of Pharmacy degree from an ACPE-accredited college of pharmacy
- Completion of a PGY1 pharmacy residency or equivalent clinical experience
- Board certification such as BCPS, BCOP, or BCCCP preferred for specialty roles
- Proficiency with electronic health record systems, particularly Epic
- Strong medication reconciliation and patient counseling skills in clinical settings
Clinical Pharmacist Jobs in North Carolina: Frequently Asked Questions
How do you become a clinical pharmacist in North Carolina?
To become a clinical pharmacist in North Carolina, you must earn a Doctor of Pharmacy degree from an accredited program and pass the NAPLEX and MPJE licensing exams before applying for licensure through the North Carolina Board of Pharmacy. Most health systems in North Carolina also expect completion of a PGY1 residency for clinical roles, and specialty positions often require a PGY2 or board certification in areas such as oncology or critical care.
How much do clinical pharmacists make in North Carolina?
Clinical pharmacists in North Carolina earn a median of about $138,860 a year, based on May 2025 Bureau of Labor Statistics wage data, ranging from around $101,670 for the lowest 10% to over $169,820 for the top 10%. Pay rises with experience, specialty, and employer.
Which companies hire clinical pharmacists in North Carolina?
Employers hiring clinical pharmacists in North Carolina right now include Atrium Health, Advocate Aurora Health, and Novant Health, based on current listings on Migrate Mate as of October 2026. North Carolina's large academic medical centers and integrated health systems account for a significant share of clinical pharmacist openings, particularly in the Triangle and Charlotte regions.
Which North Carolina cities have the most clinical pharmacist jobs?
The cities with the most clinical pharmacist openings in North Carolina are Winston-Salem, Charlotte, and Durham. Charlotte and Raleigh-Durham lead because they anchor the state's largest integrated health systems and academic medical centers, while Greensboro and other Piedmont metros contribute steady volume through regional hospital networks and growing specialty pharmacy operations.
Are there remote clinical pharmacist jobs in North Carolina?
Yes, but they're rare. Clinical pharmacy is largely a hands-on, patient-facing profession, so most roles require on-site presence in hospitals, clinics, or infusion centers. About 18% of clinical pharmacist openings tied to North Carolina are remote or hybrid as of October 2026, and the positions most likely to qualify are telepharmacy, medication therapy management, and prior authorization review roles.
How can I get hired as a clinical pharmacist in North Carolina with little or no experience?
The most realistic entry path is a PGY1 pharmacy residency, and large North Carolina employers such as Duke Health, UNC Health, and Atrium Health participate in the national residency match each year. Candidates without residency experience can look for pharmacist-in-charge or staff pharmacist roles at retail or specialty pharmacy chains as a lateral move before transitioning into clinical settings. An active North Carolina Board of Pharmacy license and a rotation background in a North Carolina institution both strengthen applications significantly.
Where can I find and apply to clinical pharmacist jobs in North Carolina?
You can find and apply to clinical pharmacist jobs in North Carolina on Migrate Mate, which lists current openings from employers across the state. Search the listings to find roles that match your specialty, experience level, and preferred location, then apply directly to the ones that fit.
See All 97 Clinical Pharmacist Jobs in North Carolina
Find roles in North Carolina that match your experience and apply in just a few clicks.
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