Broad Specialty Pharmacy

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

BROAD SPECIALTY PHARMACY

Doing business as

Broad Specialty Pharmacy

Practice address

737 Broadway
Bayonne, NJ 07002-3942

Phone

(201) 339-2273

NPI assigned

Oct 14, 2025

Organization subpart

No

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

Authorized official

Name

Fahad Khan

Title

Owner

Phone

(908) 276-6100

Specialties & licenses 2

Addresses

Other names 1

• Broad Specialty Pharmacy Doing business as

Tax ID family

Broad Specialty Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Broad Specialty Pharmacy

  • Community/Retail Pharmacy
  • Bayonne, NJ
  • NPI 1508430265
  NPD tax ID

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

{
    "created_epoch": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1679449045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "737 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023942",
            "telephone_number": "201-339-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROAD SPECIALTY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-276-6100"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Broad Specialty Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Ellen Boyle, R.PH.
• Keith Brennan
• Brian C. Della Pesca Ma LPC, LLC
• Telema Briggs, PH.D.
• Broad Specialty Pharmacy
• Broadway Care Pharmacy LLC
• Broadway Chiropractic & Rehabilitation Center
• Broadway Oral Surgery, LLC
• Broadway Physical Therapy, LLC
• Broadway RX Inc

• Long Term Care Pharmacy in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Long Term Care Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.