District of Columbia DEA registration and controlled substance licensing

DEA lists District of Columbia under "Second CS License Requirement" on its page "Medical State Licensure and/or Controlled Substance Licensure". A DEA registration depends on authority to dispense controlled substances under District of Columbia law.

Facts

DEA listing
DEA lists District of Columbia under: Second CS License Requirement
Note
DEA's page titles this column 'Second CS License Requirement', which DEA's page presents as a state controlled substance license in addition to the medical license. Confirm the exact requirement with the District of Columbia licensing board before prescribing.

DEA: Medical State Licensure and/or Controlled Substance Licensure

Moving to or adding District of Columbia

  • Get the District of Columbia license first.
  • Then apply for or update the DEA registration for District of Columbia. Per the DEA Registration Q&A, a separate DEA registration is needed in each state where you practice and dispense controlled substances.
  • DEA registration page

NPs and PAs

DEA treats NPs and PAs as mid-level practitioners. Authority comes from state law, so check the District of Columbia board.

Neighbors

1 of the 2 bordering states are listed with a second-CS-license flag: Maryland.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $154,040; nurse practitioners: $146,470; physician assistants: $146,230. “Physicians, all other” is a broad category, not all physicians or a specialty average. These are employee wage estimates, not total compensation or contract rates.

District of Columbia physicians, all other pay · District of Columbia nurse practitioners pay · District of Columbia physician assistants pay

Decision checklist for District of Columbia

  • Identify each principal place of business or professional practice in District of Columbia where controlled substances are dispensed.
  • Read 21 CFR 1301.12 for separate registration at each such place at one general physical location.
  • Confirm state authorization separately; a DEA registration depends on authority under state law.

The DEA Registration Q&A separately addresses different-state practices; confirm individual state authority.

Find your state board (FSMB directory)

Sources

General information, not legal or insurance advice. Confirm details with the state board, DEA, or the carrier.

Frequently asked questions

How does DEA list District of Columbia?

DEA lists District of Columbia under "Second CS License Requirement" on its page "Medical State Licensure and/or Controlled Substance Licensure". DEA's page titles this column 'Second CS License Requirement', which DEA's page presents as a state controlled substance license in addition to the medical license. Confirm the exact requirement with the District of Columbia licensing board before prescribing.

Do I need a separate DEA registration for District of Columbia?

According to the DEA Registration Q&A, a practitioner with practices in two states needs a separate DEA registration in each state, because controlled substance privileges and limits are determined by that state.

Can NPs and PAs prescribe controlled substances in District of Columbia?

DEA treats NPs and PAs as mid-level practitioners, and their authority comes from state law. Check the District of Columbia board.

How many neighbors of District of Columbia are listed with a second-CS-license flag?

1 of the 2 bordering states are listed with a second-CS-license flag: Maryland.

Can the District of Columbia wage links establish permission to practice?

No. BLS employee wages establish no prescribing authority; confirm the District of Columbia board’s requirements.