Active NPI
Lance Michael Nicholls, PHARMD
- Pharmacist
- New Milford, CT
National Provider Identifier
1376529958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 10055
- Practice address
- 25 Tamarack Dr
New Milford, CT 06776-3226 - Phone
- (860) 210-1811
- NPI assigned
- Dec 16, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 10055 | CT | Primary |
| Pharmacist | 183500000X | 03-3-25478 | OH |
Addresses
Primary practice location
25 Tamarack Dr
New Milford, CT 06776-3226
Mailing address
25 Tamarack Dr
New Milford, CT 06776-3226
Phone (860) 210-1811
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10055 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1376529958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 TAMARACK DR",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763226",
"telephone_number": "860-210-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 TAMARACK DR",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763226",
"telephone_number": "860-210-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLLS",
"first_name": "LANCE",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-16",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CT",
"license": "10055",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03-3-25478",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Milford, CT
- New Milford Public School
- New Milford Rehabilitation LLC
- New Milford Visiting Nurse Association, Inc.
- New Milford Visiting Nurse Association, Inc.
- Kristin Coppola Newton, MD
- Samantha Nimri, PHARMD
- NM Anesthesia Associates, PC
- Northeast Radiology of Connecticut
- Northeast Radiology of CT LLC
- Northwest Allergy, P.C.
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.