The present invention is a child resistant rotating disk pill dispenser with a main housing to receive a circular pill package and pill package tray for rotation. The tray contains annularly arranged pill-drop orifices, and hold in place a circular pill package with a plurality of pills arranged to coincide with the pill-drop orifices. The tray has ratchets for engagement with a rotating knob for advancement thereof and the knob is connected to a said main housing central shaft so as to be selectively rotatable and reciprocally movable, with a first vertical position upwardly relative to the pill package tray and a second vertical position downwardly toward the pill package tray. When the knob is in its first vertical position, it is not in rotatable engagement with the ratchets, and when it is in its second vertical position it is in rotatable engagement therewith. A plunger is included for pushing pills through a pill package, through a pill-drop orifice and out the dispensing orifice.