What are the responsibilities and job description for the Pharmacist (AM Shift) position at Unity Urgent Care and Pharmacy?
Personal Information
Full Name *
Address *
City, State, ZIP *
Phone Number *
Email Address *
Preferred Contact Method *
Phone
Email
Position Details
Position Applying For: *
Pharmacist (AM Shift)
Preferred Work Schedule *
Day Shift
Evening Shift
Weekend
Full-Time
Part-Time
Available Start Date *
Willing to work across multiple locations? *
SelectYesNo
Licensure & Certification
State of Ohio Pharmacist License Number: *
License Status *
SelectActivePendingInactive
Expiration Date
DEA Registration Number *
DEA Registration Status *
ActivePending
NPI Number (if applicable)
Immunization Certification *
SelectYesNo
MTM (Medication Therapy Management) Certified *
SelectYesNo
CPR/BLS Certification *
SelectYesNo
CPR/BLS Certification Expiration Date (If Applicable)
Are you authorized to work in the U.S.? *
YesNo
Education
School/Institution *
Degree *
Year Completed *
Residency or Fellowship Training *
PGY-1
PGY-2
Fellowship
None
Professional Experience
If applicable, specify area of specialization:
Most Recent Employer
Job Title
Start Date
End Date
Supervisor Name/Title
Contact Number
Primary Responsibilities
Practice Setting
Retail/Community Pharmacy
Hospital/Clinical Pharmacy
Urgent Care/Ambulatory
Compounding Pharmacy
Other
May we contact this employer?
SelectYesNo
Clinical & Technical Skills
Medication verification and dispensing accuracy
Patient counseling and education
Immunization administration
Medication Therapy Management (MTM)
Controlled substance and DEA compliance
Pharmacy operations and workflow management
Supervision and precepting of technicians or interns
EMR/Pharmacy software proficiency (e.g., PioneerRx, Rx30, Epic)
Insurance billing and prior authorization resolution
Bilingual communication
Professional Affiliations
List any professional organizations or memberships (e.g., APhA, ASHP, OPA)
Additional Professional Experience
Availability & Scheduling
Please Indicate Days/times You Are Available To Work
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Saturday
Morning
Afternoon
Evening
Sunday
Morning
Afternoon
Evening
References
Provide Two Professional References
Name *
Relationship *
Phone/Email *
Name *
Relationship *
Phone/Email *
Personal Statement
Briefly describe your motivation for joining Unity Urgent Care & Pharmacy and how your experience aligns with our mission of patient-centered care.
Applicant Certification
By submitting this application, I affirm that all information provided is true and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in denial or termination of employment.
Signature (Typed) *
Date *
Upload Resume/CV
Upload Resume/CV
Click or drag a file to this area to upload.
Choose File
Thank you for your application. It has been sent.
There was an error trying to send your application. Please try again later.
Full Name *
Address *
City, State, ZIP *
Phone Number *
Email Address *
Preferred Contact Method *
Phone
Position Details
Position Applying For: *
Pharmacist (AM Shift)
Preferred Work Schedule *
Day Shift
Evening Shift
Weekend
Full-Time
Part-Time
Available Start Date *
Willing to work across multiple locations? *
SelectYesNo
Licensure & Certification
State of Ohio Pharmacist License Number: *
License Status *
SelectActivePendingInactive
Expiration Date
DEA Registration Number *
DEA Registration Status *
ActivePending
NPI Number (if applicable)
Immunization Certification *
SelectYesNo
MTM (Medication Therapy Management) Certified *
SelectYesNo
CPR/BLS Certification *
SelectYesNo
CPR/BLS Certification Expiration Date (If Applicable)
Are you authorized to work in the U.S.? *
YesNo
Education
School/Institution *
Degree *
Year Completed *
Residency or Fellowship Training *
PGY-1
PGY-2
Fellowship
None
Professional Experience
If applicable, specify area of specialization:
Most Recent Employer
Job Title
Start Date
End Date
Supervisor Name/Title
Contact Number
Primary Responsibilities
Practice Setting
Retail/Community Pharmacy
Hospital/Clinical Pharmacy
Urgent Care/Ambulatory
Compounding Pharmacy
Other
May we contact this employer?
SelectYesNo
Clinical & Technical Skills
Medication verification and dispensing accuracy
Patient counseling and education
Immunization administration
Medication Therapy Management (MTM)
Controlled substance and DEA compliance
Pharmacy operations and workflow management
Supervision and precepting of technicians or interns
EMR/Pharmacy software proficiency (e.g., PioneerRx, Rx30, Epic)
Insurance billing and prior authorization resolution
Bilingual communication
Professional Affiliations
List any professional organizations or memberships (e.g., APhA, ASHP, OPA)
Additional Professional Experience
Availability & Scheduling
Please Indicate Days/times You Are Available To Work
Monday
Morning
Afternoon
Evening
Tuesday
Morning
Afternoon
Evening
Wednesday
Morning
Afternoon
Evening
Thursday
Morning
Afternoon
Evening
Friday
Morning
Afternoon
Evening
Saturday
Morning
Afternoon
Evening
Sunday
Morning
Afternoon
Evening
References
Provide Two Professional References
Name *
Relationship *
Phone/Email *
Name *
Relationship *
Phone/Email *
Personal Statement
Briefly describe your motivation for joining Unity Urgent Care & Pharmacy and how your experience aligns with our mission of patient-centered care.
Applicant Certification
By submitting this application, I affirm that all information provided is true and complete to the best of my knowledge. I understand that any misrepresentation or omission may result in denial or termination of employment.
Signature (Typed) *
Date *
Upload Resume/CV
Upload Resume/CV
Click or drag a file to this area to upload.
Choose File
Thank you for your application. It has been sent.
There was an error trying to send your application. Please try again later.