To map preventive and health-promotion services delivered through community pharmacies, identify the populations demonstrably reached, examine how referral and subsequent linkage to care are reported, and assess the extent to which equity in population coverage is explicitly measured. A scoping-review approach was structured around JBI methodological guidance and PRISMA-ScR reporting principles. PubMed-indexed literature and publisher records were searched using combinations of community pharmacy terms with prevention, health promotion, screening, vaccination, referral, follow-up, population reach, deprivation, underserved populations, and equity concepts. Primary quantitative, qualitative, mixed-methods, implementation, and service-evaluation evidence was eligible when it addressed preventive care delivered through community pharmacies or directly examined reach, referral, follow-through, or equity. The executed discovery route produced 89 record manifestations; removal of two visible duplicate manifestations left 87 unique records for relevance assessment. Twenty-six empirical reports had sufficiently verified design, setting, service, population, and outcome information for detailed evidence charting. Because the accessible search route did not provide a complete bibliographic database export, additional stage-specific PRISMA counts were not reconstructed. The charted literature covered vaccination, diabetes and cardiovascular-risk screening, blood-pressure assessment, hepatitis C screening, smoking cessation, colorectal-cancer screening, sexual-health prevention, and social-needs navigation. Evidence of service availability was considerably more common than evidence establishing population-level coverage. Some studies demonstrated reach into rural, deprived, low-income, or culturally defined populations, but accessibility and geographic proximity did not consistently predict service use. Referral processes ranged from simple advice to seek care to structured communication with another provider. Direct measurement of completed linkage was uncommon. Equity variables were inconsistently reported and differed by service. Community pharmacies provide a broad preventive-care platform, but the literature offers a more complete account of what pharmacies can deliver than of who is reached, whether referrals result in care, or whether population coverage is equitable. Future evaluations should measure service reach, referral completion, and equity variables as distinct outcomes rather than infer them from service availability.
