Trends · data through September 2026

Pharmacies in the United States

Iceflower tracks 32,824 stores from 8,790 pharmacy chains in the United States. Community Pharmacy grew fastest over the last year, ahead of Moose Pharmacy and Ascension Rx.

Rankings come from real card and bank transactions across a panel of 130M+ US and EU consumers. We publish relative growth and rankings, never revenue figures. About the data

Tracked chains
8,790
Tracked stores
32,824
Consumer panel
130M+

State by state

The leading pharmacy chains in every state

Tracked pharmacy chains ranked by consumer spend in each state, Q4 2025–Q3 2026. Walgreens leads in 31 states, CVS Pharmacy in 19 states and DC. Against their share in the US as a whole, Walgreens stands out in 30 states, CVS Pharmacy in 17 states and DC, and Kinney Drugs in 2 states.

By tracked consumer spend, Q4 2025–Q3 2026

A state shows a ranking once it has at least 2 tracked pharmacy chains and 10 tracked stores. Relative to the US compares a chain's share of the state's spend with its share in the US as a whole. It ranks the 7 biggest chains in the US and the chains that lead a state by spend, wherever a chain has at least 5% of the state's spend and 3 stores there. 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. Community Pharmacy and Moose Pharmacy sit in the high-growth half.

# Chain YoY growth
RankChainRank movementYoY growth
1 Community Pharmacy - +19.7%
2 Moose Pharmacy ▲9 +19.6%
3 Ascension Rx ▲4 +19.1%
4 Banner Family Pharmacy ▲7 +17.8%
5 Aurora Pharmacy ▲2 +16.0%
6 Good Day Pharmacy ▲7 +15.7%
7 Shrivers Pharmacy ▲5 +15.5%
8 Spartan Pharmacy ▲5 +13.5%
9 Hy-Vee Drugstore ▲4 +13.3%
10 Lewis Drug ▲3 +13.2%
11 Drugco Discount Pharmacy ▲5 +13.2%
12 Mercy Pharmacy ▲4 +11.7%
13 Medical Arts Pharmacy ▲5 +10.4%
14 King's Pharmacy ▲6 +10.4%
15 Reed's Pharmacy ▲2 +9.6%
  • Walgreens
  • CVS Pharmacy
  • Discount Drug Mart
  • Kinney Drugs
  • Walmart Pharmacy
  • Harmons Pharmacy
  • Bee's Marketplace
  • Other tracked chains

Store footprint

Store map

25,000 of 32,824 tracked store locations in the United States. The 7 largest tracked chains are highlighted. The top 5 chains by store count run 21,074 of the 32,824 stores (64%); 7,745 of the 8,790 tracked chains have a single store here.

  • Walgreens (8,972)
  • CVS Pharmacy (10,120)
  • Discount Drug Mart (82)
  • Kinney Drugs (100)
  • Walmart Pharmacy (14)
  • Harmons Pharmacy (6)
  • Bee's Marketplace (1)
  • Other tracked chains

Top tracked chains by store count

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