Metro by metro
The leading pharmacy chains in every North Carolina metro area
Tracked pharmacy chains ranked by consumer spend in each metro area, Q4 2025–Q3 2026. Walgreens leads in 9 metro areas, CVS Pharmacy in 6 metro areas. Against their share in North Carolina as a whole, Walgreens stands out in 8 metro areas, CVS Pharmacy in 7 metro areas.
By tracked consumer spend, Q4 2025–Q3 2026
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Walgreens
Relative #1 in 8 metro areas
Raleigh-Cary, NC 1.1× · Fayetteville, NC 1.2× · Greenville, NC 1.2× · Burlington, NC 1× · Rocky Mount, NC 1.1× · Jacksonville, NC 1.2× · Pinehurst-Southern Pines, NC 1.4× · Goldsboro, NC 1.5×
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CVS Pharmacy
Relative #1 in 7 metro areas
Charlotte, NC (NC part) 1.1× · Greensboro-High Point, NC 1.1× · Winston-Salem, NC 1× · Durham-Chapel Hill, NC 1.1× · Wilmington, NC 1.2× · Asheville, NC 1.3× · Hickory-Lenoir-Morganton, NC 1.2×
Not enough tracked stores: Virginia Beach, VA (NC part)
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Walgreens
#1 in 9 metro areas
Raleigh-Cary, NC · Winston-Salem, NC · Fayetteville, NC · Greenville, NC · Burlington, NC · Rocky Mount, NC · Jacksonville, NC · Pinehurst-Southern Pines, NC · Goldsboro, NC
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CVS Pharmacy
#1 in 6 metro areas
Charlotte, NC (NC part) · Greensboro-High Point, NC · Durham-Chapel Hill, NC · Wilmington, NC · Asheville, NC · Hickory-Lenoir-Morganton, NC
Not enough tracked stores: Virginia Beach, VA (NC part)
A metro area shows a ranking once it has at least 2 tracked pharmacy chains and 10 tracked stores. Relative to North Carolina compares a chain's share of the metro area's spend with its share in North Carolina as a whole. It ranks the 7 biggest chains in North Carolina and the chains that lead a metro area by spend, wherever a chain has at least 5% of the metro area's spend and 3 stores there. Metro areas are the Census Bureau's metropolitan statistical areas; the rest of North Carolina is light gray. A metro area crossing the state line counts only its stores in North Carolina. Colors match the store map; other tracked chains are gray.
Growth ranking
Fastest-growing tracked pharmacy chains
Ranked by year-over-year growth of share of tracked local spend. Arrows show movement in the rankings since last year. Each dot in the chart is one tracked chain: bigger market position to the right, faster growth higher up, more tracked stores in a bigger dot. Colors match the store map below. Moose Pharmacy and Drugco Discount Pharmacy sit in the high-growth half.
| Rank | Chain | Rank movement | YoY growth |
|---|---|---|---|
| 1 | Moose Pharmacy | - | +17.9% |
| 2 | Drugco Discount Pharmacy | - | +11.6% |
| 3 | Medicine Shoppe | ▲1 | +6.4% |
| 4 | Seashore Drugs | ▲1 | +4.2% |
| 5 | Medical Arts Pharmacy | - | +3.9% |
| 6 | Price Pharmacy | - | +2.7% |
| 7 | CVS Pharmacy | - | +2.2% |
| 8 | HealthSmart Pharmacy | - | -0.9% |
| 9 | Walgreens | - | -1.7% |
| 10 | Genoa Healthcare | - | -2.6% |
| 11 | Medical Center Pharmacy | ▼1 | -16.0% |
| 12 | Village Pharmacy | - | -17.8% |
| 13 | The Drug Store | ▼1 | -25.1% |
| 14 | Realo Discount Drugs | - | -30.2% |
- Walgreens
- CVS Pharmacy
- Realo Discount Drugs
- Drugco Discount Pharmacy
- Cannon Pharmacy
- Fayetteville Drugs
- Realo Drugs
- Other tracked chains
Store footprint
Store map
1,283 tracked store locations in North Carolina. The 7 largest tracked chains are highlighted. The top 5 chains by store count run 757 of the 1,283 stores (59%); 427 of the 468 tracked chains have a single store here. 8% of the tracked health & beauty stores here are pharmacies, against 9% across the United States.
- Walgreens (347)
- CVS Pharmacy (382)
- Realo Discount Drugs (12)
- Drugco Discount Pharmacy (5)
- Cannon Pharmacy (5)
- Fayetteville Drugs (1)
- Realo Drugs (4)
- Other tracked chains
Top tracked chains by store count
- 1 CVS Pharmacy 382
- 2 Walgreens 347
- 3 Realo Discount Drugs 12
- 4 Atrium Health Pharmacy 8
- 5 Moose Pharmacy 8
- 6 HealthSmart Pharmacy 6
- 7 Cannon Pharmacy 5
- 8 Drugco Discount Pharmacy 5
- 9 Genoa Healthcare 5
- 10 Realo Drugs 4
- 11 Village Pharmacy 4
- 12 Medicine Shoppe 4
- 13 Medical Center Pharmacy 4
- 14 Medical Arts Pharmacy 3
- 15 The Drug Store 3
- 16 Prescription Pad 3
- 17 Carolina Pharmacy 3
- 18 Seashore Drugs 3
- 19 Price Pharmacy 3
- 20 Professional Pharmacy 2
- 21 Clinic Pharmacy 2
- 22 Quality Care Pharmacy 2
- 23 Value Rx Pharmacy 2
- 24 O'Neal's Drug Store 2
- 25 Health Innovations Pharmacy 2
- 26 Carolina Home Medical 2
- 27 Futrell Pharmacy 2
- 28 Cape Fear Discount Drug 2
- 29 Crossroads Pharmacy 2
- 30 Thomas Drug Store 2
- 31 Walker's Drug Store 2
- 32 Island Pharmacy 2
- 33 Medicap Pharmacy 2
- 34 Tas Drug 2
- 35 Sentry Drug Center 2
- 36 King's Pharmacy 2
- 37 Newton Grove Drug Co 1
- 38 Pleasant Garden Drug 1
- 39 J Medic 1
- 40 Hayes Barton Pharmacy 1
- 41 Gibsonville Pharmacy 1
- 42 Anderson Drug Store 1
- 43 Randolph Medical Pharmacy 1
- 44 Gordon Family Pharmacy 1
- 45 Cramerton Drug Co 1
- 46 Southeastern Pharmacy 1
- 47 Denver Pharmacy 1
- 48 Broadway Family Pharmacy 1
- 49 Long View Drug 1
- 50 B & B Pharmacy 1
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