Organization Active NPI

Dawa Pharmacy Inc

Doing business as Dawa Pharmacy

  • Community/Retail Pharmacy
  • Covina, CA
National Provider Identifier
1669297685
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
DAWA PHARMACY INC
Doing business as
Dawa Pharmacy
Practice address
20540 E Arrow Hwy Ste D
Covina, CA 91724-1200
Phone
(626) 604-1090
Fax
(626) 604-1332
NPI assigned
Nov 15, 2024
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Souzan AouroutNPI 1104382829
Title
Ceo
Phone
(626) 604-1090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

20540 E Arrow Hwy Ste D
Covina, CA 91724-1200

Mailing address

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

Other names 1

  • DAWA PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250513003205 CA Part B Supplier - Pharmacy 1254859325 Practice locations: Covina, CA

National Provider Directory

National Provider Directory
Tax ID family
Dawa Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1669297685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20540 E ARROW HWY STE D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241200",
            "telephone_number": "626-604-1090",
            "fax_number": "626-604-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20540 E ARROW HWY STE D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917241200",
            "telephone_number": "626-604-1090",
            "fax_number": "626-604-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWA PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "AOUROUT",
        "authorized_official_first_name": "SOUZAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-604-1090"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAWA PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.