Individual provider Active NPI

Simon Ernest Sebuliba, PHARMD

  • Pharmacist
  • Tulsa, OK
National Provider Identifier
1013828177
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
21516 Issued in OK
Practice address
2323 W Edison St
Tulsa, OK 74127-5218
Phone
(918) 582-1375
Fax
(918) 560-9001
NPI assigned
Sep 16, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 21516 OK Primary

Addresses

Primary practice location

2323 W Edison St
Tulsa, OK 74127-5218

Mailing address

2307 W Nashville PL
Broken Arrow, OK 74012-4725

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

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789516800000",
    "number": "1013828177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W NASHVILLE PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740124725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 W EDISON ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741275218",
            "telephone_number": "918-582-1375",
            "fax_number": "918-560-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEBULIBA",
        "first_name": "SIMON",
        "middle_name": "ERNEST",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OK",
            "license": "21516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.