ABSTRACT: Background: The burden of NCD continues to increase rapidly with lower resource areas affected the most. Aim is to evaluate status of care of NCD patients in a rural area of North Cyprus. Materials and Methods: A cross-sectional study involved patients with one or more NCD visiting a community pharmacy. Patient’s demographics, beliefs about medicine, lab values adherence and quality of life (QoL) were evaluated using validated tools. A clinical pharmacist assessed goals of therapy achievement, identified drug related problems (DRPs), and categorized DRPs using PCNE tool version 9.2. Results: Responders were 97 out of 200 eligible and approached. Median age was 62 (IQR=15) years and females formed 58.8%. Only 54% of hypertension patients reached target blood pressure. More than 40% of T2DM patients fail to achieve target HbA1c level. Most patients (71%) with Hypertension T2DM or CAD were not compliant in their lifestyle and diet and had a DRP (86.6%). Other than DRPs factors associated with lower QoL include female gender unemployment, and belief “that Medicines do more harm than good”. Conclusion: DRPs and non-adherence were prevalent while therapy targets were rarely achieved. Community pharmacist form an opportunity to improve outcomes in management of NCDs in rural areas. Keywords: healthcare; evidence-based medicine; public health; patient-centered care.