Groundwater is the drinking water source for the majority of rural settlements of district Nowshera, Khyber Pakhtunkhwa, Pakistan. The study aimed to analyze the groundwater quality and its vulnerability to pollution and to develop its spatial distribution mapping. For this purpose, forty-eight groundwater samples were collected from dug wells, tube wells, and hand pumps of sixteen villages andanalyzed for physicochemical parameters. The XY coordinates of the sample's sourcesweremarked by Magellan Triton 1500 handheld global positioning system (GPS). The results were compared with WHO and Pak-EPAguidelines. The results of the majority of selected parameters were found within the WHO and Pak-EPA guidelines; however, in certain areas the concentration of total dissolved solids (TDS), chlorides(Cl-), and alkalinity were higher than the guideline limits. Based on cumulative water quality the excellent water quality prevails over an area of 376 km2(21% of district area), good water quality 726 km2(42%), poor 424 km2(24%), very poor 116 km2(6%), and unfit for drinking 84 km2(4%). The water of the Nizampur and Rashaki areas were categorized unfit for drinking. The groundwater quality of nearly one-half of the district varies from poor to very poor, and the soil type and vadose zone sediment/material was found the key reason for groundwater contamination. Based on the infiltration capacity of vadose zone material, the study area was divided into four water pollution vulnerable zones. The low vulnerable zone covers an area of 104 km2, moderate 862 km2, high 667 km2,and very high 93 km2. The most important factor which determines the vulnerability of the groundwater to contamination is the vadose zone material/sediment which in turn determines the soil infiltration capacity. The generated groundwater susceptibility and water quality maps provide critical information for identifying optimal locations for supply wells.