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Member Information
Membership is on an individual basis. If a company desires more
than one (1) employee to become a member, it is required to pay
an additional $650 membership fee per person. There are no
refunds for membership cancellations.
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Prefix:
--Make a Selection--
Mr.
Ms.
Dr.
Mrs.
First Name:
Middle Name:
Last Name:
Suffix:
--Make a Selection--
Jr..
Sr.
Esq.
R.Ph.
J.D.
M.D.
MBA
Pharm.D.
Other Degree:
Nick Name:
Title:
Company:
Address1:
Address2:
City:
State:
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Alabama
Alaska
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Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Montana
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New York
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Ohio
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Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code:
Country:
Email:
Phone:
Fax:
Extension:
Professional Level
Professional Level:
-- Make a Selection --
CEO/COO/CFO/Partner
CIO
President
Vice President
Other Senior Management
Director/Department Head
Senior Staff/Manager
Staff
Academic
Practicing Pharmacist
Job Function
Job Function:
-- Make a Selection --
Operations
Project Management
Research/Development
Sales/Marketing
Purchasing/Contract
Regulatory/Compliance
Technical Services
Information Systems
Maintenance/Support
Classes of Membership
Organization
:
-- Make a Selection --
Chain Pharmacy
Consulting Pharmacist
Franchise Pharmacy
Independent Pharmacy
Mail Service Pharmacy Company
On-Line Pharmacy Company
Pharmaceutical Manufacturers
Other Producer/Provider
Blue Cross Blue Shield Organization
Federal/State Agency
Health Insurer
Health Maintenance Organization
Pharmacy Benefit Management Company
Prescription Service Administration Organization
Other Payer/Processor
Academia
Clinical Programs
Consultants
Database Management Organizations
Information/Material Distributors
Mail List House
Physician Service Organizations
Professional/Trade Associations
Telecommunication and Systems Vendor
Wholesale Drug Distributor
Other Vendor/General Interest
Hospital Pharmacies
Hospitals
Long Term Care Providers
Long Term Care Provider Pharmacies
Long Term Care Pharmacists
Home Infusion Pharmacies
Home Infusion Pharmacists
Hospice Providers
Long Term Care Industry Consultants
Reason for joining NCPDP. (Please rank in order 1-5)
1st Join Reason:
-- Make a Selection --
Company recognition in industry
Annual conference attendance
Work group participation and standards influence
Membership directory acquisition
Educational Program attendance
Networking opportunities
Personal/Career Advancement
Standards documentation acquisition
RXReconn subscription
Other
2nd Join Reason:
-- Make a Selection --
Company recognition in industry
Annual conference attendance
Work group participation and standards influence
Membership directory acquisition
Educational Program attendance
Networking opportunities
Personal/Career Advancement
Standards documentation acquisition
RXReconn subscription
Other
3rd Join Reason:
-- Make a Selection --
Company recognition in industry
Annual conference attendance
Work group participation and standards influence
Membership directory acquisition
Educational Program attendance
Networking opportunities
Personal/Career Advancement
Standards documentation acquisition
RXReconn subscription
Other
4th Join Reason:
-- Make a Selection --
Company recognition in industry
Annual conference attendance
Work group participation and standards influence
Membership directory acquisition
Educational Program attendance
Networking opportunities
Personal/Career Advancement
Standards documentation acquisition
RXReconn subscription
Other
5th Join Reason:
-- Make a Selection --
Company recognition in industry
Annual conference attendance
Work group participation and standards influence
Membership directory acquisition
Educational Program attendance
Networking opportunities
Personal/Career Advancement
Standards documentation acquisition
RXReconn subscription
Other
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