Ronya Balogun, RPH, LAPC, MA
Individual provider Active NPI Pharmacist · Feasterville Trevose, PA
NPI 1295018554 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1295018554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 28RI02688300 (NJ)
- Practice address
- 4 Interplex Dr Ste 101
Feasterville Trevose, PA 19053-6940 - Phone
- (908) 216-6764
- Fax
- (215) 253-5305
- NPI assigned
- Sep 23, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Sound Medical Corporation
Practice addresses (Care Compare)
3845 Berkley Rd
Bensalem, PA 19020-1403
3848 Berkley Rd
Bensalem, PA 19020-1403
4 Neshaminy Interplex Dr
Suite 101
Feasterville Trevose, PA 19053-6940
Phone (215) 294-6790
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251121003394 | PA | Practitioner - Mental Health Counselor | 3173826310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Arts, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC001275 | PA | MD | Professional Counselor |
| 28RI02688300 | NJ | MD | Pharmacist |
| RP450307 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sound Medical Corporation | Current |
Accepting new patients | |
| Land Medical, Inc. | Current |
Accepting new patients | |
| Land Medical Corporation | Current | Accepting new patients |
Locations
9150 Marshall St
Ste 5
Philadelphia, PA 19114
Phone (215) 294-6790
4 Neshaminy Interplex Dr
Ste 101
Trevose, PA 19053
Phone (215) 294-6790
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP450307 | PA | |
| Pharmacist | 183500000X | 28RI02688300 | NJ | Yes |
| Professional Counselor | 101YP2500X | APC001275 | PA |
Addresses
Primary practice location
4 Interplex Dr Ste 101
Feasterville Trevose, PA 19053-6940
Mailing address
3845 Berkley Rd
Bensalem, PA 19020-1403
Phone (908) 216-6764
Other providers in Feasterville Trevose, PA
- Aurora Hospice Inc
- Serguei Avakov
- Babiner Dental PC
- Natalie Jean Baine
- Tajanae Baker
- Behavioral Health Laboratory Network LLP
- Bells Market Pharmacy II LLC
- Better Home Care Agency, LLC
- Barbara C Bix
- Kamila Bome
All providers in Feasterville Trevose, PA · Pharmacist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.