The Board of Directors is the policy-making body of NPMA, and it manages the business of the Association. The board is composed of 26 voting members: President, Immediate Past President, President-Elect, Treasurer, Secretary; 10 At-Large Directors elected from the general membership; five Regional Directors, and two Associate Directors elected at the discretion of the board. There is also one additional Past President representative, two Allied Member representatives and one UPFDA representative on the board.