Healthcare Provider Details

I. General information

NPI: 1942162763
Provider Name (Legal Business Name): KHOVISION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 30TH ST
UNION CITY NJ
07087-3806
US

IV. Provider business mailing address

505 30TH ST
UNION CITY NJ
07087-3806
US

V. Phone/Fax

Practice location:
  • Phone: 551-306-3833
  • Fax: 551-306-3832
Mailing address:
  • Phone: 551-306-3833
  • Fax: 551-306-3832

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: VALERIA KHOKHAR
Title or Position: PRESIDENT
Credential:
Phone: 551-306-3833