Rhode Island DEA registration and controlled substance licensing

DEA lists Rhode Island 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 Rhode Island law.

Facts

DEA listing
DEA lists Rhode Island 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 Rhode Island licensing board before prescribing.

DEA: Medical State Licensure and/or Controlled Substance Licensure

Moving to or adding Rhode Island

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

Decision checklist for Rhode Island

  • Describe the proposed professional practice location and dispensing work in Rhode Island.
  • Compare that location with the principal-place registration rule in 21 CFR 1301.12.
  • Resolve the state authorization question independently of the federal registration application.

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

Find your state board (FSMB directory)

Neighbors

2 of the 2 bordering states are listed with a second-CS-license flag: Connecticut, Massachusetts.

Count named qualifying land/river neighbors; exclude water-only and corner-only contacts. Neighbor status grants no practice authority.

In this state, in context

BLS OEWS May 2025 annual mean employee wages — physicians, all other: $236,360; nurse practitioners: $143,150; physician assistants: $146,630. “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.

Rhode Island physicians, all other pay · Rhode Island nurse practitioners pay · Rhode Island physician assistants pay

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 Rhode Island?

DEA lists Rhode Island 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 Rhode Island licensing board before prescribing.

Do I need a separate DEA registration for Rhode Island?

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 Rhode Island?

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

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

2 of the 2 bordering states are listed with a second-CS-license flag: Connecticut, Massachusetts.

Can the Rhode Island wage links establish permission to practice?

No. BLS employee wages establish no prescribing authority; confirm the Rhode Island board’s requirements.