Provider Demographics
NPI:1053294249
Name:BROOKSHIRE, CAYLEIGH JO (PHARMD)
Entity type:Individual
Prefix:MRS
First Name:CAYLEIGH
Middle Name:JO
Last Name:BROOKSHIRE
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:MISS
Other - First Name:CAYLEIGH
Other - Middle Name:JO
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3714 GRANDVIEW DR APT 345F
Mailing Address - Street 2:
Mailing Address - City:SIMPSONVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29680-3728
Mailing Address - Country:US
Mailing Address - Phone:864-419-3063
Mailing Address - Fax:
Practice Address - Street 1:222 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BELTON
Practice Address - State:SC
Practice Address - Zip Code:29627-1914
Practice Address - Country:US
Practice Address - Phone:864-338-6996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC60689183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist