Individual ProviderYi Yan Vivien ShumPharmacistPharmacy Service ProvidersPractice Address2271 Bel Pre Rd, Silver Spring, MD 20906-2204(301) 598-6617PECOS EnrollmentBased on the most recent information from CMS, provider Yi Yan Vivien Shum 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 ID1992226286Provider TypeIndividualFull NameShum, Yi Yan VivienGenderFemaleSole ProprietorNoEnumeration Date6/27/2017Last Updated6/27/2017Contact InformationPractice LocationPractice Address2271 Bel Pre Rd, Silver Spring, MD 20906-2204Phone(301) 598-6617FaxUnlisted FaxMailing LocationMailing Address806 Curry Ford Ln, Gaithersburg, MD 20878-2757PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode183500000XPrimaryDescriptionPharmacistPharmacy Service ProvidersLicense24561MarylandCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense72139CaliforniaCode183500000XDescriptionPharmacistPharmacy Service ProvidersLicense0202213128Virginia