Individual ProviderJennifer ShimPharmacistPharmacy Service ProvidersPractice Address1015 Ripley St Ste B, Silver Spring, MD 20910-7479(301) 273-9526(240) 535-2580PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Shim does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1013569623Provider TypeIndividualFull NameShim, JenniferTitleDr.GenderFemaleSole ProprietorNoEnumeration Date7/13/2019Last Updated7/13/2019Contact InformationPractice LocationPractice Address1015 Ripley St Ste B, Silver Spring, MD 20910-7479Phone(301) 273-9526FaxUnlisted FaxMailing LocationMailing Address11910 Frost Valley Way, Potomac, MD 20854-2879Phone(240) 535-2580FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense26609Maryland