Provider Demographics
NPI:1144760331
Name:RINA GANGA INC
Entity Type:Organization
Organization Name:RINA GANGA INC
Other - Org Name:VENUS CARE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NEHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-498-0031
Mailing Address - Street 1:806 S ALLEN HEIGHTS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-1876
Mailing Address - Country:US
Mailing Address - Phone:469-498-0031
Mailing Address - Fax:469-498-0032
Practice Address - Street 1:806 S ALLEN HEIGHTS DR STE 100
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-1876
Practice Address - Country:US
Practice Address - Phone:469-498-0031
Practice Address - Fax:469-498-0032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X
TX312933336C0003X, 3336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX150115Medicaid