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Changing healthcare needs, new policies and efforts to provide patients with cheaper and more accessible care are bringing about a revolution in community pharmacy practice in the United States. As a result of this change, community-based pharmacists now provide comprehensive clinical services, manage ongoing diseases, prevent illnesses, supervise medication therapy, give vaccinations and extend public health outreach. Thanks to new service models such as appointments for medication order synchronization, team agreements and including digital solutions, pharmacists play an active role in supporting all members of a healthcare team. They are especially useful in under-served regions, since CBPPs work to address important shortages in primary care. Covid-19 emphasized the important role of pharmacists, who saw both advantages in regulations and a broader area of work. Even so, there are hurdles to overcome in getting reimbursed, being recognized as healthcare providers and creating standard training across countries. It brings together fresh improvements, current policies and research on the expanding clinical, financial and public health roles of community pharmacists in the U.S. and recommends building a sustainable system to ensure their full inclusion in healthcare.