Individual provider Active NPI

Souzan Aourout

  • Pharmacy
  • West Covina, CA
National Provider Identifier
1104382829
Registry record updated Nov 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
79927 Issued in CA
Practice address
703 N Hyacinth Ave
West Covina, CA 91791-1046
Phone
(818) 288-1674
NPI assigned
Feb 19, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 79927 CA Primary

Addresses

Primary practice location

703 N Hyacinth Ave
West Covina, CA 91791-1046

Mailing address

703 N Hyacinth Ave
West Covina, CA 91791-1046
Phone (818) 288-1674

Other practice location 1

20540 E Arrow Hwy Ste D
Covina, CA 91724-1200
Phone (626) 604-1090

Other practice location 2

703 N Hyacinth Ave
West Covina, CA 91791-1046
Phone (818) 288-1674

Other identifiers 1

IdentifierTypeStateIssuer
F3045262OtherCADMV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
79927CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dawa Pharmacy Inc Current Accepting new patients
Dawa Pharmacy Inc Pharmacy Current Accepting new patients

Locations

20540 E Arrow Hwy
Ste D
Covina, CA 91724
Phone (626) 604-1090

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1104382829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N HYACINTH AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911046",
            "telephone_number": "818-288-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N HYACINTH AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911046",
            "telephone_number": "818-288-1674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20540 E Arrow Hwy Ste D",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917241200",
            "country_code": "US",
            "telephone_number": "626-604-1090",
            "fax_number": "626-604-1090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "703 N Hyacinth Ave",
            "address_purpose": "LOCATION",
            "city": "West Covina",
            "state": "CA",
            "postal_code": "917911046",
            "country_code": "US",
            "telephone_number": "818-288-1674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AOUROUT",
        "first_name": "SOUZAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "79927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMV",
            "identifier": "F3045262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.