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Deactivated NPI 1568648582 Deactivated / Inactive NPI Male Practitioner

Jack Craig Edelson , RPH

Pharmacist • West Orange, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jack Edelson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2008
NPI Deactivation Date January 29, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Jack Edelson, RPH was a registered Pharmacist practicing in West Orange, NJ. Throughout an active medical career spanning 18 years, Jack Edelson provided care at the practice location at 36 CERONE CT until profile deactivation on 2026-01-29.

Practice Location & Contact Primary Location

Practice Address

36 Cerone Ct

West Orange, NJ 070524113

Telephone 9732439623

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in West Orange, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
36 Specialists

Practicing in West Orange, NJ (8390 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License NY 034473

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated January 29, 2026

Record deactivated on January 29, 2026

NPI Profile Active January 22, 2008

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2008

Registered at 36 CERONE CT, WEST ORANGE, NJ 070524113 (Tel: 9732439623)

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Updated Business Mailing Address January 22, 2008

Registered at 36 CERONE CT, WEST ORANGE, NJ 070524113 (Tel: 9732439623)

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Provider Name / Credentials Updated January 22, 2008

Recorded as JACK EDELSON, RPH

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2008

Pharmacist (License #034473 in NY)

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Initial NPI Registration & Enumeration January 22, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1568648582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2008
Last Update: January 22, 2008
Deactivation Date: January 29, 2026

Mailing Address

36 Cerone Ct

West Orange, NJ 070524113

Phone: 9732439623

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.