NAICS 446110 · California overview

Independent Pharmacies in Contra Costa County

Contra Costa County had 89 Pharmacy establishments in 2023, ranking 13 of 50 California counties and accounting for 2.1% of the statewide total.

Establishments (2023)
89
Rank 13 of 50 counties
Employees
1,668
Mid-March employment
Annual payroll
$81M
All establishments
Per 10k residents
0.8
1,170,070 residents

More recent reading

BLS QCEW, 2026Q1

The figures above are County Business Patterns, which carries the size distribution but runs about two years behind. The Bureau of Labor Statistics publishes quarterly, so this is the same industry roughly 3 years later. The two count different universes, Census counts establishments with paid employees in the March pay period and BLS counts worksites covered by unemployment insurance during the quarter, so the numbers are not directly comparable and either can be the larger.

Establishments
121
2026Q1
Employment
1,393
Quarter-end level
Average weekly wage
$1,032
Per covered worker
Quarterly trend
-6.2%
2025Q2 to 2026Q1
Concentration vs the national averageBLS, 2026Q1

0.88 location quotient. Pharmacy is about as concentrated in Contra Costa County as it is nationally.

Computed by the Bureau of Labor Statistics, not derived here. Above 1.0 means the industry is a larger share of local employment than of national employment.

Establishments by size

Employee-count distribution for Pharmacy in Contra Costa County. 62 of 89 establishments (70%) employ 10 or more people, the practical floor for most acquisition financing.

EmployeesEstablishmentsShareDistribution
1-41415.7%
5-91213.5%
10-19910.1%
20-495359.6%

Establishment trend

Year-over-year establishment counts, County Business Patterns. Net decline of 1.1% since 2020.

YearEstablishmentsChange
202090n/a
202188-2
2022880
202389+1

How this market compares

Contra Costa County against every other county in California on the same measure. The median excludes places under 2,000 residents, where per-capita figures are arithmetically true but analytically useless.

Below average0.8 per 10,000 residents, against a state median of 0.9

Fewer businesses per resident than the typical California market. Often an underserved market, though it can also mean residents buy this service in a neighbouring town.

Vs state median
-19%
Businesses per resident
Rank by count
#13
of 50 counties
Rank by density
#41
of 50 ranked
Since 2020
-1%
Change in establishments

Density compares independent pharmacies provision per resident. It does not measure revenue, profitability or whether a market is worth entering.

Business size mix

Contra Costa is more consolidated than California as a whole: fewer micro-operators and a larger share of businesses with real headcount. Fewer targets, but the ones that exist are more likely to be financeable.

Share of establishmentsContra CostaCaliforniaDifference
Under 5 employeesOwner-operated, often no management layer15.7%21.8%-6.0%
5 to 49 employeesThe range most individual buyers target83.1%75.4%+7.7%
10 or more employeesPractical floor for acquisition financing69.7%54.4%+15.2%

What acquirers look at

PBM reimbursement pressure has compressed margins for a decade. Compounding, long-term-care contracts and clinical services are what make one viable.

Cities in Contra Costa

The figures above cover the county as a whole. These are the places within it.

Other industries in Contra Costa

Sources

  1. U.S. Census Bureau, 2023 County Business Patterns. Establishment counts, employment and annual payroll by NAICS. Retrieved 2026-09-08.
  2. U.S. Bureau of Labor Statistics, Quarterly Census of Employment and Wages (2026Q1). Quarterly establishment counts and employment for employers covered by unemployment insurance. Retrieved 2026-09-08.