Individual provider Active NPI

Andrew Pagw McKusick, R.PH.

  • Nuclear Pharmacist
  • Charlotte, NC
National Provider Identifier
1093712242
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear PharmacistTaxonomy code 1835N0905X
License
08990 Issued in NC
Practice address
1000 Blythe Blvd
Carolinas Medical Center - Dept of Nuc Med
Charlotte, NC 28203-5812
Phone
(704) 355-3527
Fax
(704) 355-4950
NPI assigned
Jul 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Pharmacist 1835N0905X 08990 NC Primary

Addresses

Primary practice location

1000 Blythe Blvd
Carolinas Medical Center - Dept of Nuc Med
Charlotte, NC 28203-5812

Mailing address

6732 Windyrush Rd
Charlotte, NC 28226-7557
Phone (704) 543-9753

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
08990NCMDNuclear Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1120262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093712242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6732 WINDYRUSH RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267557",
            "telephone_number": "704-543-9753",
            "fax_number": "704-355-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "address_2": "CAROLINAS MEDICAL CENTER - DEPT OF NUC MED",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3527",
            "fax_number": "704-355-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKUSICK",
        "first_name": "ANDREW",
        "middle_name": "PAGW",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835N0905X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Nuclear",
            "state": "NC",
            "license": "08990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.