By Rosanna Sutherby, PharmD
Published in Script Save Rx
July 29, 2020<\/p>\n\n\n\n
American pharmacies have come a long way from the years of colonial apothecaries to the modern automated pharmacies of today. Evolution in pharmacist education and changes in the legislature has shifted the roles of pharmacists. Read on for a brief history of pharmacies in the United States.<\/p>\n\n\n\n
In 1630, Governor John Winthrop<\/a>, founder of Boston, hired British apothecary Robert Cooke to assist him in preparing remedies using herbs imported from England and other natural ingredients.<\/p>\n\n\n\n In 1729, the Irish immigrant Christopher Marshall opened one of the first apothecaries in colonial America<\/a>. It was located in Philadelphia. For 96 years, the Marshall Apothecary served as a community pharmacy as well as a training ground for aspiring pharmacists. Marshall\u2019s granddaughter, Elizabeth Marshall, took over the store in 1805 and became the second American female pharmacist. The first was Elizabeth Gooking Greenleaf<\/a>, who bought and ran an apothecary in Boston in 1727.<\/p>\n\n\n\n In 1821, almost 100 years later, the first pharmacy school, Philadelphia College of Pharmacy, opened. Shortly after, in 1852, the first national pharmacy association, the American Pharmaceutical Association (APhA), was established.<\/p>\n\n\n\n Initially, the way into the profession of pharmacy was through apprenticeship. Someone interested in pharmacy would train under the tutelage of an established pharmacist. The opening of the first pharmacy school shifted education to formal institutions<\/a>, and even these institutions underwent several changes over the years. Early colleges offered a Graduate in Pharmacy (Ph.G.) degree, which could be turned into a Pharmaceutical Chemist (Ph.C.) degree with an additional year of study.<\/p>\n\n\n\n By the 1940s, the Bachelor of Science in Pharmacy (B.S.Pharm.) was introduced, and in 1997, the Doctor of Pharmacy (Pharm.D.) six-year program became the only accredited pharmacy degree<\/a>.<\/p>\n\n\n\n Early American pharmacies were referred to as apothecaries, and pharmacists were often called druggists or chemists. The role of the pharmacist then included preparing and dispensing remedies and counseling patients. By the 19th century, Edward Parrish of the APhA standardized the name \u201cpharmacist\u201d for all pharmaceutical practitioners. Until the 1950s, pharmacists prescribed, made, and dispensed medicines and provided patient counseling<\/a>.<\/p>\n\n\n\n The passing of the 1951 Durham-Humphrey Amendment to the Federal Food, Drug, and Cosmetic Act of 1938 shifted the role of pharmacists. Until then, pharmacists were able to prescribe and dispense any medication except narcotics. The Durham-Humphrey Amendment restricted pharmacists to dispensing medications only with a physician\u2019s prescription. Pharmacist recommendations were limited to over-the-counter (OTC) medications, and their role shifted to dispensing drugs and ensuring medication safety.<\/p>\n\n\n\n In the 1980s, a movement toward clinical pharmacy began to expand the role of pharmacists. By 2003, the Medicare Prescription Drug Improvement and Modernization gave pharmacists the ability to, once again, counsel patients on prescription drugs as well as OTC medications. The clinical pharmacy movement<\/a> expanded the pharmacist\u2019s role in the community pharmacy to include administering vaccines, counseling patients, and other patient care services. Pharmacists now can focus on disease and chronic condition management, medication management, health and wellness, and other services that help improve patients\u2019 quality of life.<\/p>\n\n\n\n The role of modern-day community pharmacies differs from that of the apothecaries of colonial America. Pharmacists of colonial apothecaries prepared most of the remedies that they dispensed. By 1900, the industrial revolution introduced new forms of medications, such as tablets, gelatin capsules, and enteric-coated pills. These medication forms were mass-produced and lined the shelves of pharmacies of the 1900s. However, compounded medicines, including liquids, creams, ointments, lotions, eye drops, and eardrops, were still common. Today\u2019s pharmacies are largely automated, with robots that count and bottle commonly used medicines, and compounding has become less common.<\/p>\n\n\n\nChanges in Education<\/h2>\n\n\n\n
The Role of the Pharmacist<\/h2>\n\n\n\n
The Evolution of Community Pharmacies<\/h2>\n\n\n\n