The parish includes the settlements of Kepnal to the east, Pewsey Wharf (on the Kennet and Avon Canal) to the north, Sharcott to the west, and Southcott on the south-east.

The rector at that time, Joseph Townsend, was responsible for the building of Pewsey's first bridge over the River Avon.

Of more lasting effect for the village was the completion of the Hungerford to Devizes section of the GWR's Berks & Hants line in 1862, which allowed fast travel to London and to the West Country.

[3] In 1898 Pewsey Carnival was first held, a tradition that flourishes today with a fortnight of events, including The Feaste, culminating in an illuminated procession in mid to late September.

The parish church of St John the Baptist stands next to the main road in the south of the village and is built in flint and sarsen with limestone dressings.

The village has an Indian restaurant[20] and five pubs (the Royal Oak, the Crown Inn, the Moonrakers, the Coopers Arms, and The Shed Alehouse micropub[21]).

Its facilities include a 25m heated indoor swimming pool, squash courts and a large multi-sport hall.

Pewsey Heritage Centre is a museum run by the local history society, housed in Avonside Works, a former foundry building used by the agricultural engineering firm of Whatley & Hiscock.

For the 2017–18 season, Pewsey Vale 1st XV plays in the SSE South West Division, Dorset & Wilts 1 North League.

PVRFC have a joint second team called Alfred's Nomads, shared with Marlborough RFC; they play in Dorset and Wilts 3 North.

In July 2014 Pewsey Vale Youth FC was awarded 'FA Chartered Standard' Club of the year by the Wiltshire Football Association.

Its amenities include a 25m heated indoor swimming pool (used for swimming, float play, kayaking and snorkelling), squash courts and a multi-sport hall (used for badminton, indoor cricket/football/rugby, basketball, volleyball, circuit training, archery and martial arts (judo, taekwondo and kung fu)).