Individual ProviderYemisi Vivian ObembePharmacistPharmacy Service ProvidersPractice Address1290 E West Hwy, Silver Spring, MD 20910-3242(301) 588-6261PECOS EnrollmentBased on the most recent information from CMS, provider Yemisi Vivian Obembe 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 ID1356744148Provider TypeIndividualFull NameObembe, Yemisi VivianTitleDr.CredentialPHARMD, MBA.GenderFemaleSole ProprietorNoEnumeration Date10/7/2014Last Updated1/8/2015Contact InformationPractice LocationPractice Address1290 E West Hwy, Silver Spring, MD 20910-3242Phone(301) 588-6261FaxUnlisted FaxMailing LocationMailing Address1290 E West Hwy, Silver Spring, MD 20910-3242PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense18631Maryland