OrganizationActive
Urgent Care of Derby, LLC
NPI 1629461116 · Urgent Care Clinic/Center · Derby, CT
Provider details
- NPI number
- 1629461116
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeannie Kenkare, Chief Medical Officer(860) 657-8289
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
78 Pershing Dr
Derby, CT 06418-1433
Phone: (203) 516-5307
Street-level locationGet directions
Mailing address
2928 Main St
Glastonbury, CT 06033-1007
Other names (DBA / former)
- Doing business as
- Physicianone Urgent Care- Derby
Registry dates
- Enumerated
- 2015-03-09
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.