Pivalaldehyde oxime is primarily used as an intermediate in the synthesis of various organic compounds. It plays a significant role in the production of pharmaceuticals, particularly in the development of drugs that require oxime functional groups for their activity. Additionally, it is utilized in the preparation of agrochemicals, such as pesticides and herbicides, where it contributes to the formation of active ingredients. The compound is also employed in research and development for creating novel chemical entities with potential applications in material science and industrial chemistry. Its stability and reactivity make it a valuable building block in organic synthesis.