Individual provider Active NPI

Bolaji Ayantola

  • Pharmacist
  • Snellville, GA
National Provider Identifier
1699684530
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
260208 Issued in AK
Practice address
3050 Dove Chase CT
Snellville, GA 30039-6260
Phone
(470) 546-0572
NPI assigned
Sep 4, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 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 260208 AK Primary

Addresses

Primary practice location

3050 Dove Chase CT
Snellville, GA 30039-6260

Mailing address

3050 Dove Chase CT
Snellville, GA 30039-6260

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1788480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1699684530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 DOVE CHASE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 DOVE CHASE CT",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300396260",
            "telephone_number": "470-546-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYANTOLA",
        "first_name": "BOLAJI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-09-04",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AK",
            "license": "260208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.