Healthcare Provider Details

I. General information

NPI: 1881515807
Provider Name (Legal Business Name): LEVY MAHORO PHARMD.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 JOHNSON FY RD NE
SANDY SPRINGS GA
30342-1605
US

IV. Provider business mailing address

1001 JOHNSON FY RD NE
SANDY SPRINGS GA
30342-1605
US

V. Phone/Fax

Practice location:
  • Phone: 404-785-5437
  • Fax:
Mailing address:
  • Phone: 404-785-5437
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberRPH033860
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: