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How do I change my name in e-Profile?

You can change your name in your e-Profile by submitting a photocopy of the document granting your name change and completing the correct NABP name change form. One form pertains to those who have had their name change granted by a US government agency. The other pertains to those who have had their name change granted by a foreign government agency. Have the forms witnessed and signed by a notary.

In addition to the form, submit a photocopy of the documentation noting your name change. Acceptable supporting documentation includes:

  • Marriage license or certificate
  • Divorce decree
  • Court ordered name change document
  • Naturalization documentation (the original document must be mailed, the document will be returned)

Please send a photocopy. Originals will not be returned. Exception: photocopies of naturalization documentation will not be accepted. Original naturalization documents will be returned. 

FORMS:

Name Change Granted by a US Government Agency
This form can be faxed or mailed.

Name Change Granted by a Foreign Government Agency
For security reasons, submit this form and the photocopied documentation by mail, as NABP retains the original signed and notarized form for its records.

All forms and information should be sent to Customer Service.

NABP Customer Service
1600 Feehanville Dr
Mount Prospect, IL 60056
Email: help@nabp.pharmacy
Phone: 847/391-4406