I owned a compounding pharmacy for a decade — bought it, ran it through the hardest years this industry has seen, and sold it on my terms. Now I keep books for independent pharmacies, and I'm still a licensed, practicing pharmacist today.
You won't have to explain DIR fees to me. Or wholesaler rebates. Or why the biggest deposit of the month is the slowest to arrive.
Get Your Free Books ReviewI know because I watched it happen from the owner's chair. Reimbursement compression doesn't announce itself — revenue holds steady while the gross margin line bleeds, and if your books lump everything together, you find out years later than you should.
Most pharmacy books are built by generalists. Wholesaler payments dumped straight to expenses. Rebates and prompt-pay discounts netted invisibly into purchases. Inventory adjusted once a year at tax time, which means your monthly margin is fiction eleven months out of twelve. The books balance. They just don't tell you anything.
Every week, on your pharmacy's assigned day, I'm in your books. Third-party deposits categorized by payer. Wholesaler drafts, card batches, payroll — recorded while they're fresh. If a deposit goes missing or a payer's rhythm changes, it surfaces in days, not months.
Penny for penny against your actual statements. Not “close enough.” Agree.
The piece generalist bookkeepers skip. Using your dispensing system's valuation report, your inventory and cost of goods get trued up every month — by service line. Rx, compounding, front-end: each margin real, each month. Rebates, prompt-pay discounts, and reverse-distribution credits each get their own line, so when a number moves, you can see which one and ask why.
Your P&L and balance sheet, in your inbox by the 10th of every month, with margin you can actually trust. My monthly close covers everything a full-service pharmacy CPA firm checks on the balance sheet — at the bookkeeping tier.
Your CPA stays your CPA — I hand them clean, categorized, reconciled books, and after filing, their year-end adjustments come back into the books so nothing ever drifts from the return.
Your claims reconciliation stays with your recon system or your team — I record what actually landed; they chase what didn't.
I don't do taxes, payroll, or billing. I do one job, completely.
I co-founded a pharmacist staffing service in 2001 and owned an independent compounding pharmacy from 2007 to 2017. Payroll to make, inventory to carry, PBM contracts to survive.
My books were how I saw the squeeze coming while the bank account still said everything was fine — in time to do something about it. That's the standard I build for my clients. And I still practice as a pharmacist today, so I'm not describing your world from memory.
No blind estimates. Invite me into your QuickBooks Online as an accountant, send your last three months of bank and credit card statements, and within 48 hours you have an exact monthly price — firm, built on your actual volume, and it doesn't move.
Monthly service is month-to-month. If I'm not delivering, you fire me — the risk is mine to carry, on purpose.
Book Your Free ReviewFree · Firm quote in 48 hours · Month-to-month