Elizabeth Perkins Bashore
Individual provider Active NPI Pharmacist · Dickson, TN
NPI 1174299382 · NPPES record last updated Jul 19, 2026
Key facts
- NPI
- 1174299382
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 0202219859 (VA)
- Practice address
- 143 Henslee Dr
Dickson, TN 37055-2092 - Phone
- (276) 642-0032
- NPI assigned
- Aug 18, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202219859 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 45146 | TN | |
| Pharmacist | 183500000X | 0202219859 | VA | Yes |
Addresses
Primary practice location
143 Henslee Dr
Dickson, TN 37055-2092
Mailing address
143 Henslee Dr
Dickson, TN 37055-2092
Phone (931) 801-5870
Other providers in Dickson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.