Guam DEA registration and controlled substance licensing

DEA lists Guam 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 Guam law.

Facts

DEA listing
DEA lists Guam 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 Guam licensing board before prescribing.

DEA: Medical State Licensure and/or Controlled Substance Licensure

Moving to or adding Guam

  • Get the Guam license first.
  • Then apply for or update the DEA registration for Guam. 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 Guam board.

Neighbors

Guam has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator.

    The count is the number of named qualifying neighbors out of all listed land/river neighbors. Open-water-only and point-only contacts are excluded; a neighboring status does not grant practice authority here.

    In this state, in context

    No usable annual mean employee wage is available in the existing linked state tables; no wage is inferred. These are employee wage estimates, not total compensation or contract rates.

    No role-specific state pay pages exist in this project for this jurisdiction.

    Decision checklist for Guam

    • Identify each principal place of business or professional practice in Guam 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 explains registration for practices in different states. The state listing is a flag to verify, not a complete description of an individual clinician’s 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 Guam?

    DEA lists Guam 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 Guam licensing board before prescribing.

    Do I need a separate DEA registration for Guam?

    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 Guam?

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

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

    Guam has no bordering U.S. states or District of Columbia land/river neighbors; there is no bordering-state denominator.

    Can the Guam wage links establish permission to practice?

    No. The linked BLS state wage estimates describe employee wages, not licensing, compact privileges or prescribing authority. Confirm the Guam board’s requirements separately.