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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 $675 membership fee per person. There are no
refunds for membership cancellations.
Italics
denotes required field
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.
M.B.A.
Pharm.D.
Other Degree:
Nick Name:
Title:
Company:
Address1:
Address2:
City:
State:
UnListed
Alabama
Alaska
Arizona
Arkansas
British Columbia
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Postal Code:
Country:
Email:
Cell Phone:
Phone:
Extension:
Fax:
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
Category
:
--- Select Producer/Provider ---
Academic Health Center
Clincial/MTM/Formulary Mgt Org.
Compounding Pharmacy
Consultant Pharmacist Services
Consulting to Producer/Provider
Hospice Pharmacy
Hospital Pharmacy
Inpatient Care Center
Long Term Care Pharmacy
Mail Service Pharmacy
Medical Equipment/Supplies
Other Producer/Provider
Outpatient Care Center
Pharmaceutical Manufacturer
Pharmacy Services Admin Org (PSAO)
Physician Dispensing Entity
Physician Services Organization
Prescription Consulting Entity
Retail Pharmacy
Specialty/Home Infusion Pharmacy
--- Select Payer/Processor ---
Accountable Care Organizations (ACO)
Consulting to Payer/Processor
Federal/State Agency
Fiscal Agent/Intermediary
Health Insurer
Health Maintenance Organization
Health Plan Sponsor
Managed Care Organization
Medication Therapy Mgt. Admin.
Other Payer/Processor
Pharmacy Benefit Management/Admin Company
Transaction Processor (Rebates/Coupons)
Worker's Comp Organization
--- Select Vendor/General Interest ---
Academia/Research Foundation
Automation/Robotics
Clearinghouse
Clinical Programs
Consulting - General
Data Mgt Vendor or Integrator
Distribution/Packaging
Drug Information Resource Company
Equipment/Product Supplier
Federal/State Agency (non-payer)
Health Information Exchange/HIE Vendor/Intermediary
Informatics/Data Analysis
Marketing/Educational Services
Network/Contract Management
Other Vendor/General Interest
Professional Services
Professional/Trade Association
Software Vendor/Certifier
System Vendor
Wholesale Drug Distributor/Repackager
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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