Active NPI
Whitney Fakolade, PHARMD
- Pharmacist
- Austin, TX
National Provider Identifier
1760125280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 74702
- Practice address
- 4303 Victory Dr
Austin, TX 78704-7507 - Phone
- (512) 279-0985
- Fax
- (512) 279-0471
- NPI assigned
- Apr 14, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 86008 | CA | |
| Pharmacist | 183500000X | 74702 | TX | Primary |
| Pharmacist | 183500000X | 30826 | MD |
Addresses
Primary practice location
4303 Victory Dr
Austin, TX 78704-7507
Mailing address
4303 Victory Dr
Austin, TX 78704-7507
Phone (512) 279-0985
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30826 | Other | MD | MARYLAND |
| 86008 | Other | CA | CALIFORNIA BOARD OF PHARMACY |
| 74702 | Other | TX | TEXAS BOARD OF PHARMACY |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Downey, CA
- NPI 1639775612
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
| License | State | Type | Specialty |
|---|---|---|---|
| 30826 | MD | MD | Pharmacist |
| 74702 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Care Med GP | Pharmacist | Past | Accepting new patients |
| A Care Med GP | Past | Accepting new patients |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1760125280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4303 VICTORY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047507",
"telephone_number": "512-279-0985",
"fax_number": "512-279-0471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4303 VICTORY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787047507",
"telephone_number": "512-279-0985",
"fax_number": "512-279-0471"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKOLADE",
"first_name": "WHITNEY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-14",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "86008",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "74702",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MD",
"license": "30826",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND",
"identifier": "30826",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA BOARD OF PHARMACY",
"identifier": "86008",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF PHARMACY",
"identifier": "74702",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.