MST Management, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MST MANAGEMENT, LLC

Practice address

4438 The PLZ Ste D
Charlotte, NC 28215-2188

Phone

(704) 837-4410

Fax

(980) 256-3419

NPI assigned

Jun 28, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Nikhil Tailor, PHARMDNPI 1215221536

Title

Owner

Phone

(843) 267-8739

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• vidapharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NC2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nikhil Tailor

  • Pharmacist
  • Charlotte, NC
  • NPI 1215221536
  NPD Authorized official
• Nadia Ahmed, PHARM D

  • Pharmacist
  • Charlotte, NC
  • NPI 1295545028
  NPD

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1902583479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4438 THE PLZ STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152188",
            "telephone_number": "704-837-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4438 THE PLZ STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282152188",
            "telephone_number": "704-837-4410",
            "fax_number": "980-256-3419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MST MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "TAILOR",
        "authorized_official_first_name": "NIKHIL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-267-8739",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00439594",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "vidapharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "vidapharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.