Background: Organic cation transporter OCT1 forms oligomers. Results: The intact structure of the large extracelluar loop of OCT1 is pivotal for oligomerization. Oligomerization increases membrane targeting and does not influence substrate affinities. Conclusion: OCT1 monomers within oligomeric transporter complexes can operate independently, and oligomerization can be changed by extracellular agents. Significance: The reported data are important to understand transport mechanism and effects of mutations.