Individual provider Active NPI

John Wayne Sherven, PHARM. D.

  • Pharmacist
  • Anoka, MN
National Provider Identifier
1407826175
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
117452-4 Issued in MN
Practice address
100 Monroe St
Anoka, MN 55303-2405
Phone
(763) 421-5540
Fax
(763) 421-9229
NPI assigned
Jan 25, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 117452-4 MN Primary
Pharmacist 183500000X 4874 ND

Addresses

Primary practice location

100 Monroe St
Anoka, MN 55303-2405

Mailing address

21930 Elm Pkwy
Rogers, MN 55374-4518
Phone (763) 428-1125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
117452-4MNMDPharmacist
4874NDMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407826175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21930 ELM PKWY",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553744518",
            "telephone_number": "763-428-1125",
            "fax_number": "763-428-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONROE ST",
            "city": "ANOKA",
            "state": "MN",
            "postal_code": "553032405",
            "telephone_number": "763-421-5540",
            "fax_number": "763-421-9229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERVEN",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "117452-4",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4874",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anoka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.