Healthcare Provider Details

I. General information

NPI: 1265353379
Provider Name (Legal Business Name): CLAUDINE EL-BEYROUTY PHARMD, BCPS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 S 11TH ST
PHILADELPHIA PA
19107-4870
US

IV. Provider business mailing address

913 EDMONDS AVE
DREXEL HILL PA
19026-2517
US

V. Phone/Fax

Practice location:
  • Phone: 610-864-9654
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberRP045184L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: